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PubMed1979

Vitamin E in kitten oxygen-induced retinopathy. II. Blockage of vitreal neovascularization.

The effect of vitamin E (tocopherol) on oxygen-induced retinopathy was studied in the kitten after a quantitative scoring system was developed for their India ink injected retinal flat preparations. In 75 previously described kittens exposed to two or three days of oxygen from day 3, treatment from day 1 with vitamin E or placebo disclosed that kittens treated with vitamin E had less retinopathy. Theories of the mechanism of action of vitamin E would predict that, if given only after the oxygen exposure, vitamin E should be ineffective. This was tested in 37 kittens with placebo or drug begun only after withdrawal from oxygen. Unexpectedly, significantly less intravitreal neovascularization was found in kittens treated with vitamin E after oxygen exposure.

Animals↗
PubMed1998

Buccinator musculomucosal flap: applications in intraoral reconstruction.

OBJECTIVE: To evaluate the use of the buccinator musculomucosal flap in the reconstruction of defects of the oral cavity and oropharynx. DESIGN: Prospective case series of 8 patients during a 1-year period with an average follow-up of 1 year. Six anatomical dissections were performed on 3 fresh cadaver heads to investigate the neurovascular supply to the flap. SETTING: Academic tertiary referral medical center. RESULTS: The buccinator musculomucosal flap was used in the reconstruction of 8 defects of the oral cavity, retromolar trigone, and soft palate. There was 1 partial flap necrosis that occurred in a patient who had previously received radiation therapy and who healed secondarily without sequelae. No patient experienced difficulties with mastication or oral competence. All patients reported light single-point touch sensation over the flap 2 weeks after surgery. Cadaveric dissections using latex or india ink injections demonstrated the posterior neurovascular supply from the buccal artery, a branch of the internal maxillary artery, and the buccal nerve, a branch of the mandibular nerve. CONCLUSIONS: The buccinator musculomucosal flap is a dependable local sensate flap with a well-defined neurovascular pedicle that can be used in a variety of intraoral reconstructions obviating the need for distal tissue harvest.

Aged↗
PubMed2006

Great auricular nerve morbidity after nerve sacrifice during parotidectomy.

OBJECTIVE: To clarify the extent, timing, and patient perspectives of great auricular nerve (GAN) morbidity and recovery after nerve sacrifice during parotidectomy during the first postoperative year. DESIGN: Prospective series. SETTING: Tertiary care academic medical center. Patients Twenty-seven consecutive patients who underwent parotidectomy with GAN sacrifice. MAIN OUTCOME MEASURES: Preoperatively and at 3, 6, 9, and 12 months postoperatively, we performed light touch sensation tests on each patient to develop an ink map representing anesthesia and paresthesia in the GAN sensory territory; patients also completed an outcomes questionnaire. RESULTS: Twenty-two (81%) of 27 patients completed follow-up. The prevalence and average area of anesthesia decreased continually during the first year according to sensory testing and patient scoring. Half of the patients had no anesthesia at 12 months. The prevalence and average area of paresthesia increased during the first year according to sensory testing; however, the contiguity and subjective scoring of paresthesia peaked at 6 months and decreased in subsequent follow-up points. Throughout the first year, patients had difficulty using the telephone, shaving, combing their hair, wearing earrings, and sleeping on the operative side because of both anesthesia and paresthesia. CONCLUSIONS: The impact of GAN sacrifice morbidity on patient quality of life is tolerable and improves during the first postoperative year. However, we feel that GAN morbidity may be bothersome enough to warrant efforts to preserve the posterior branch of the GAN when possible and appropriate.

Aged↗
PubMed1993

Tracheal view of vocal fold vibration in excised canine larynxes.

The mucosal upheaval where the mucosal wave starts and propagates upward appears on the lower surface of the vocal fold during vibration. We investigated the location of the mucosal upheaval in response to variations in vocal fold tension and mean air flow rate. Twelve excised canine larynxes were used in the experiment. The lower surfaces of the vocal folds were marked with india ink. After cinematography was performed, a small cut wound was made at the mark. This wound served to relate cinematographic findings with the histologically observed position of the mark. The larynx was then fixed, sectioned in the frontal plane, and stained for histologic examination. Horizontal movements of the free edge, mucosal wave, mucosal upheaval, and marks were analyzed. Under a fixed vocal fold tension, the mucosal upheaval appeared more laterally to a limited extent as mean air flow rate increased, but its location on the vocal fold mucosa did not change from its position before the increase of mean air flow rate. The mucosal upheaval appeared more medially when vocal fold tension increased. The position of the mucosal upheaval actually changed medially compared with its original position before the tension increase. Histologic examination indicated that the mucosal upheaval arose on the lower surface of the vocal fold between the free edge and the area where the muscular layer comes in close proximity to the epithelial layer.

Air Movements↗
PubMed2002

Hypnotic suggestion and the modulation of Stroop interference.

BACKGROUND: Hypnosis has been used clinically for hundreds of years and is primarily a phenomenon involving attentive receptive concentration. Cognitive science has not fully exploited hypnosis and hypnotic suggestion as experimental tools. This study was designed to determine whether a hypnotic suggestion to hinder lexical processing could modulate the Stroop effect. METHODS: Behavioral Stroop data were collected from 16 highly suggestible and 16 less suggestible subjects; both naturally vigilant and under posthypnotic suggestion. Subjects were urged to only attend to the ink color and to impede reading the stimuli under posthypnotic suggestion. RESULTS: Whereas posthypnotic suggestion eliminated Stroop interference for highly suggestible subjects, less suggestible control subjects showed no significant reduction in the interference effect. CONCLUSIONS: This outcome challenges the dominant view that word recognition is obligatory for proficient readers, and may provide insight into top-down influences of suggestion on cognition.

Adult↗
PubMed1977

Effect of hyperbaric oxygen on second-degree burn wound healing.

We present a controlled study that indicates faster epithelialization of blister-removed second-degree burn wounds in guinea pigs treated with hyperbaric oxygen (HBO). Assessment of vascularity by india ink perfusion indicated earlier return of capillary patency in the HBO-treated group. An examination of the question of a comparative increase in DNA synthetic activity in the HBO-treated animals showed a slightly higher absolute ratio of labeled to unlabeled cells, but the difference was not statistically significant. It is likely that the mechanisms whereby HBO influenced the above events were mediated not only by increased oxygen delivery, but by increased atmospheric pressure on the wound.

Animals↗
PubMed1992

Anatomic and clinical considerations of an internal mammary artery harvest.

In an effort to understand the perceived correlation of internal mammary artery harvesting and wound healing difficulties in the inferior margins of the sternotomy incision, we showed the cutaneous vascular perfusion in the sternal and xiphoid areas by India ink injection studies in cadavers. With these studies, we demonstrated an inherent paucity of nutrient supply to the inferior sternum and xiphoid area. The classic internal mammary artery harvest further compromises the blood supply to these areas. We believe that limiting the most inferior dissection of the internal mammary artery and not including the distal bifurcation leaves intact the lateral musculophrenic nutrient supply to the inferior sternum and xiphoid area and to the ipsilateral abdominal rectus muscle. These guidelines will help to prevent ischemic complications of this area and may aid in reconstruction. If the bifurcation is harvested, we believe that the removal of the avascular xiphoid cartilage at the time of the initial bypass procedure may eliminate this as a potential septic focus.

Abdominal Muscles↗
PubMed1999

Radiometric surface temperature measurements during dye-assisted laser skin closure: in vitro and in vivo results.

BACKGROUND AND OBJECTIVE: A thermal camera was used to measure surface temperatures during laser skin welding to provide feedback for optimization of the laser parameters. STUDY DESIGN/MATERIALS AND METHODS: Two-centimeter-long, full-thickness incisions were made in guinea pig skin in vitro and in vivo. India ink was applied to the incision edges, which were then mechanically apposed. Continuous-wave, 1.06-microm Nd:YAG laser radiation was scanned over the incisions, producing an effective pulse duration of approximately 100 msec. Cooling durations between scans of 1.6, 4.0, and 8.0 sec were studied in vitro. A 5-mm-diameter laser spot was used with the power kept constant at 10 W. Thermal images were obtained at 30 frames per second with a thermal camera detecting 3-5 microm radiation. Surface temperatures were recorded at 0, 1, and 6 mm from the center line of the incision. RESULTS/CONCLUSIONS: Cooling durations of 1.6 and 4.0 seconds in vitro resulted in temperatures at the weld site that remained above approximately 65 degrees C for prolonged periods of time. Cooling durations of 8.0 seconds were sufficient both in vitro and in vivo to prevent a significant rise in baseline temperatures at the weld site over time.

Animals↗
PubMed2000

Q-switch laser and tattoo pigments: first results of the chemical and photophysical analysis of 41 compounds.

BACKGROUND AND OBJECTIVE: In the Western world, there are at least 20-30 million people with tattoos. Improved self-image and social stigmatization are the main reasons for removing tattoos from skin. Q-switched lasers are applied to destroy the tattoo compounds in the skin. The treatment of tattoos containing ink often gives excellent results, whereas the results of treatments for coloured tattoos are not predictable and usually are worse. The chemical structure and the absorption spectra of the tattoo pigments are usually unknown. However, the efficacy of the treatment by using light of different Q-switched lasers (wavelengths 510, 532, 694, 755, 1064 nm) is correlated to both the chemical structure of the tattooed compounds yielding specific absorption spectra and the laser wavelength used. STUDY DESIGN/MATERIALS AND METHODS: A structural and spectroscopic analysis of 41 coloured pigments was performed. RESULTS: The 41 substances were identified, and they consist of 16 individual chemicals of different structured well-known industrial organic pigments. The absorption spectra of the 16 pigments were measured quantitatively. CONCLUSION: The results of the present analysis explain to some extent the outcome of clinical studies regarding laser therapy of coloured tattoos. Because the laser energy used produces a high temperature in the azo or polycyclic pigments, it is necessary to investigate whether that change causes possibly toxic or cancerogenic compounds.

Coloring Agents↗
PubMed2000

Nd:YAG laser irradiation of the human dental pulp: implications as a predictor of pulp hemodynamics.

BACKGROUND AND OBJECTIVE: The aim of study this was to evaluate in vivo the pulpal blood flow rate, pulpal responsiveness, systemic blood pressure, and pulse rate during Nd:YAG laser irradiation of an isolated tooth. STUDY DESIGN/MATERIALS AND METHODS: Thirteen volunteers from the Tsurumi Dental University faculty participated in this study after giving their consent to the Nd:YAG laser irradiation test protocol. Gingivobuccal areas adjacent to mandibular canines were used for clinical evaluation. Each area was coated with India ink and treated with a Nd:YAG laser for 30 sec at 120-mJ pulses at 10 pulses/sec. Pulpal blood flow was measured by a laser Doppler flowmeter during Nd:YAG laser irradiation of the tooth. All pulp responses were measured by an electric pulp tester before and after Nd:YAG laser irradiation. In addition, the systemic blood pressure and pulse rate were monitored throughout the laser irradiation procedure. RESULTS: For all subjects involved in this study, the pulpal blood flow rate increased during laser irradiation. Threshold values of the electric pulp tests increased in six cases and decreased in six cases. One case showed no change. After 1 month, the threshold values for each subject had returned to previously recorded values. Neither systemic blood pressure nor pulse rate was affected during Nd:YAG laser irradiation. Pulpal blood flow was strongly influenced immediately after Nd:YAG laser irradiation, seen as an increase in the flow rate. CONCLUSION: The results of this study suggest that effects of the Nd:YAG laser irradiation are similar to those of low power laser for the improvement of local blood flow.

Adult↗
PubMed1999

Arterial supply of limbic structures in the guinea pig.

This study outlines the vascular territories of the cerebral arteries that originate from the Willis circle to supply limbic structures in the guinea pig brain. The entire cerebral vascular system was visualized in four preliminary experiments by performing superselective microangiographic studies with iodine contrast medium perfusion of the whole brain after in vitro isolation according to a technique described previously (de Curtis et al. [1991] Hippocampus 1:341-354). Subsequently, the perfusion territory of the different arteries that originate from the Willis circle was characterized after cannulation and perfusion of individual arteries with a gelatin solution that contained waterproof black ink. The analysis was performed by identifying the brain regions that contained the black stain on 150-microm-thick coronal sections that were cut after brain fixation with paraformaldehyde for at least 1 week. The middle cerebral artery and the rostral and caudal posterior cerebral arteries supply the limbic cortices and some related subcortical regions. In particular, large portions of the hippocampal formation are supplied by both the rostral posterior cerebral artery and the rostral branch of the caudal posterior cerebral artery, whereas the ventral temporal part of the hippocampus is served exclusively by the rostral posterior cerebral artery. The amygdala, the periamygdaloid cortex, and the piriform cortex are served by the middle cerebral artery and in part by the perforating arteries. The entorhinal, perirhinal, and postrhinal cortices are vascularized by the posterior and middle cerebral arteries, with a very broad overlap between the distal territories of these vessels. The demonstration of an extensive superimposition between the arterial supply of the entorhinal and the perirhinal regions suggests the presence of anastomotic connections that potentially are protective against ischemic events. Such an arrangement was not observed for the arteries that supply the ventral portion of the hippocampal formation and the basolateral amygdala, which showed nonoverlapping boundaries. The pathophysiological consequences of a similar vascular organization are discussed.

Animals↗
PubMed1997

Scanning electron microscopy of "fibrillated" and "malacic" human articular cartilage: technical considerations.

Specimens of articular cartilage from human knees with gross evidence of malacia (dull appearance and/or softness) or fibrillation (exposed fibrous strands and/or staining with India ink) were prepared for scanning electron microscopy (SEM) and compared to cartilage from apparently intact regions. Vertical cryofractures were made through the center of each specimen, so the matrix collagen structure and its relationship to surface features could be examined. Soft, dull, malacic cartilage was characterized by the presence of numerous clefts among the collagen fibers within the most superficial region of the cartilage. In one form of this condition, these clefts did not extend through the articular surface. In a second form, usually observed where the tangential zone was normally thin or absent, the free ends of radial collagen fibers were exposed, but the deeper layers were intact. Two forms of fibrillation were also identified. The first is created by separation of the superficial lamellae which curl up from the tangential layer and form frondlike projections above the normal plane of the joint surface. In the second, deep radial fibers are exposed by vertical fissures. This second form is associated with advanced damage to the joint. The early stages of cartilage failure are characterized by debonding among the major collagen fiber tracts. This process may initiate in the deep tangential zone where the radial fibers cross into the surface. The patterns of the degenerative changes are dictated by the original architecture of the collagen matrix. The microscopic findings do not correlate adequately with conventional gross grading. SEM provides useful information about injured articular cartilage.

Adolescent↗
PubMed1998

Supporting tissue and vasculature of the mammalian vomeronasal organ: the rat as a model.

The blood supply and osseocartilaginous support structures of the vomeronasal organ of the rat were studied. The study focused on adults, though 3- to 18-day-old animals were also examined. The techniques used included dissection and microdissection, injection of the vascular system with Araldite or with Indian ink in agar or gelatine, conventional histology, and scanning and transmission electron microscopy. The results indicated that blood reaches the vomeronasal organ via a branch of the sphenopalatine artery, and drains into an associated vein. Within the organ, one vein stood out by virtue of its size; this vein is accompanied by lesser veins, together with arterioles, capillaries, and lymphatic vessels. Connective tissue was readily apparent, though its distribution was heterogeneous. Analysis of series of transverse sections indicates that, in adults, the capsule that encases the vomeronasal organ is bony; in younger animals, the capsule is bony externally and cartilaginous internally; in very young animals, the capsule is entirely cartilaginous. However, it was noted that the change from cartilage to bone was due not to ossification of the existing cartilage, but to physical displacement of that cartilage by an extension of the vomer and incisive bones. Taken together, these results confirm the importance of considering the morphology of the vomeronasal organ as a whole, since there are major changes from rostral to caudal ends. Secondly, our findings regarding blood supply and the nature of the capsule support the view that the vomeronasal organ acts as a pump.

Animals↗
PubMed1997

The development of the coronary vessels and their differentiation into arteries and veins in the embryonic quail heart.

Research concerning the embryologic development of the coronary plexus has enriched our understanding of anomalous coronary vessel patterning. However, the differentiation of the coronary vessel plexus into arteries, veins, and a capillary network is still incomplete. Immunohistochemical techniques have been used for whole mounts and serial sections of quail embryo hearts to demonstrate endothelium, vascular smooth muscle cells, and fibroblasts. From HH35 onward, the lumen of the coronary plexus was visualized by injecting India ink into the aorta. In HH17, branches from the sinus venosus plexus expand into the proepicardial organ to reach the dorsal side of the atrioventricular sulcus. From HH25 onward, vessel formation proceeds toward the ventral side and the apex of the heart. After lumenized connections of the coronary vessels with the aorta and right atrium are established, a media composed of smooth muscle cells and an adventitia composed of procollagen-producing fibroblasts are formed around the coronary arteries. In the early stage, bloodflow through the coronary plexus is possible, although connections with the aorta have yet to be established. After the coronary plexus and the aorta and right atrium are interconnected, coronary vessel differentiation proceeds by media and adventitia formation around the proximal coronary arteries. At the same time, the remodeling of the vascular plexus is manifested by disappearance of arteriovenous anastomoses, leaving only capillaries to connect the arterial and venous system.

Animals↗
PubMed1998

Microcirculatory bed of the human trigeminal nerve.

BACKGROUND: The structure and topography of the microcirculatory bed of the human trigeminal nerve are described. Details of microvascular morphology in the epi-, peri-, and endoneurium in different parts of the nerve are emphasized. METHODS: The vascular bed of the trigeminal nerve was studied following injecting an aqueous solution of black ink and differentiating between microcirculatory components using silver nitrate impregnation. Morphometric parameters were statistically analyzed. RESULTS: Features of vascular organization that control blood flow are found within the pia mater of the trigeminal nerve root coverings, capsule and stroma of the trigeminal ganglion, and the epineurium and external layer of perineurium of extracranial branches. The precapillary arterioles, capillaries, postcapillary venules, and venules are situated in the internal layers of the perineurium. However, while the endoneurium contains only capillaries, the epineurium and external layers of the perineurium contain blood vessels whose features reflect a capability of adapting to a vascular change (transepineural arterioles, arteriolovenular anastomoses, and precapillary sphincters). The inner perineurium layer contains only precapillary sphincters. CONCLUSIONS: Results show that the make-up and topography of the microcirculatory bed throughout the trigeminal nerve are determined by features of the connective tissue components. Arteriolovenular anastomoses facilitate blood redistribution within the superficial layers of the trigeminal nerve, while precapillary sphincters and transepineural arterioles provide optimal regulation of blood flow in deeper layers of the nerve trunk.

Adolescent↗
PubMed1998

Host-graft circulation and vascular morphology in pancreatic tissue transplants in rats.

One of the most determining factors for the survival of tissue grafts is an intact vasculature. This vasculature must, however, be linked to the circulation of the host animals for survival and growth to occur. The mechanism(s) of revascularization of pancreatic tissue grafts is still unclear and more so the process by which the host blood vessels anastomose with those of the graft. The microvasculature and revascularization of neonatal pancreatic tissue fragments transplanted into the anterior eye chamber of rats were investigated using conventional light and electron microscopy as well as the india ink perfusion method. Light microscopy demonstrated that the blood vessels of the host iris revascularized the transplants within 24 h of transplantation. Sinusoidal blood capillaries were observed to invade the peripheral parts of the grafts. The capillary encroachment from the iris into the graft continued through the second day of transplantation. The host-graft anastomosis developed completely and became prominent and conspicuous after the third day of transplantation. Many capillaries were observed to encroach into the graft from the iris. The vasculature of the graft was increased in comparison with that of normal pancreatic tissue. This increase was prominent especially around pancreatic islet and ductal cells which survived after transplantation. Blood cells observed in these vessels of the graft indicated a functional state. The ultrastructure of the intrinsic blood vessels of the graft was intact and showed the peculiar fenestrations normally seen in the blood vessels of endocrine tissues. These observations indicated that pancreatic tissue fragments transplanted into the anterior eye chamber of rats were revascularized within 24 h. The revascularization was completed at the end of the third day of transplantation when definitive blood vessels linked the circulation of the graft with that of the iris.

Animals↗
PubMed1999

Distribution of the Purkinje fibres in the sheep heart.

The aim of the present study was to advance our knowledge regarding the anatomy of the purkinje fibres from their origin, at the bundle branches, till their termination within the myocardium. Indian ink injections of the purkinje fibres were carried out in the left ventricle of 25 fresh sheep hearts and in the right ventricle of 20 hearts. Numerous samples were taken from the walls and papillary muscles of the two ventricles for histological analysis and determination of the mode of termination of the fibres. The ventricular conduction system could be injected as far proximally as the bundle branches, thus illustrating the bifascicular nature of the left bundle branch, with numerous interfascicular communications. The purkinje fibres were observed to form an extensive subendocardial network, forming a polygonal arrangement in the left ventricle with a characteristic pattern around the papillary muscles. Deep myocardial branches took origin from this network which penetrated the ventricular wall to reach the epicardium. Histological analysis demonstrated the characteristic features of the purkinje cells, and confirmed the presence ofa perifascicular sheath of connective tissue which surrounded the purkinje fibres until their transition with working cardiomyocytes. The perifascicular connective tissue sheath is important in organising the contraction of the myocardium by preventing lateral spread of conduction and by permitting transmission of the impulse only at the termination of the purkinje fibre. The sheath may also protect the fibres from the stresses and strains originating from contraction of the surrounding myocardium.

Animals↗
PubMed2000

Animated PowerPoint as a tool to teach anatomy.

Anatomy is a visual science. For centuries, anatomic information has been conveyed through drawings that have been presented to students through every available medium. The projection of animated images from a computer is a medium that offers great promise in effecting improved communication of anatomic information. Using Microsoft PowerPoint software, we have developed animated presentations for all of our lectures in Gross and Developmental Anatomy. As a starting point, we scan pen-and-ink drawings to create a digital image. The image may be edited and manipulated in an image processing program. Next, the image is imported into a PowerPoint slide where it is labeled and otherwise enhanced (arteries overlaid with red color, veins in blue, etc.) and the enhancements are animated, as we describe here step by step. For the lecture, the file is loaded on a server that is accessible through a network from a computer in the lecture hall. The output is directed to a video projector and the PowerPoint presentation is projected in the "Slide Show" mode. We use a wireless mouse that allows us to control the presentation from anywhere in the room. Before the lecture, students are provided with the same unlabeled drawings as handouts, and during the lecture the students are actively engaged in labeling the drawings and making related notes. After the lecture, the file is saved in HTML format and posted on our course web site where students can access the slides. Evaluation by the students at the end of the course demonstrated that this style of presentation was very favorably received.

Anatomy↗