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[The information system at the Orthopedic Clinic of the Institute for Physicians and Pharmacists].

Technological progress in the eighties achieved in the development and implementation of computer technology facilitates new approaches to information processing. Informatics becomes one of the key branches of economy of advanced countries. Under the conditions of the present growth of the volume of information also health care must change the classical form of information processing if it is to fulfil its function properly. The consideration is presented on the possibilities of the introduction of computer technology in our clinics and the problems resulting from it. The experience is described with developing a data base information system of the Orthopaedic clinic of the Institute for In-Service Training of Physicians and Pharmaceutists using ADT 4700 minicomputer.

Humans↗

[Metric examinations on the development of apical dendrites of cortical pyramidal cells during the postnatal time in the rat].

1. It is explained the postnatal evolution of some selected features of Golgi-impregnated layer V pyramidal neurons in the rat sensorimotor cortex from the 1st to the 90th day after birth (13 stages) quantitatively. Especially it is reported about the development of the length and the quantity of apical main dendrites and of the apical lateral branches from the 1st to the 3rd order as well as the branching behaviour of the dendrites (free ends of dendrites, branching points, ramification index). 2. The evolution of mean length of apical dendrites is represented by a sigmoidal polygon trace - like the classic growing curve. 3. During the 3rd month of the postnatal life the lateral branches of the apical dendrites show a distinct growing increase relating to the mean values of the total length of dendrites, their quantity and the branching behaviour. This intensification of growth is in contrast to the growing stagnation of the apical main dendrites in this time. 4. From this point of view it is deduced that relating to the maturation of pyramidal cells - contrary to the papers of other writers and contrary to a previous private conception - albino rats in the age of 3 months do not are differentiated cortical completely. 5. The several marks of pyramidal dendrites do not form themselves in the same time but successively. The maturing process of new dendrites or dendrite branches is the base of significant increase of the length. 6. It seems, that the formation of dendritic "tree" takes place in growing batches. In this context there are discussed the correlations between the morphometric conceivable changes in the cortical pyramids and the accession of functions in the animal.

Animals↗

Anatomicopathological study of vascular and biliary systems using cast samples of Fasciola-infected bovine livers.

In 117 livers with fascioliasis, this study was focused on the number of Fasciola, the number and intrahepatic localization of affected hepatic ducts and bile ducts, and the degree of fibrosis in the hepatic segments and bile ducts. The degree of pathological changes in bile ducts caused by fascioliasis was classified into five levels. The site of Fasciola habitation was most often the hepatic ducts of the porta hepatis: it was the left hepatic duct in 101 livers and the right hepatic duct in 88 livers. Casts were prepared by infusing synthetic resin into the hepatic arterial, portal, hepatic venous and biliary systems of 15 bovine livers with fascioliasis and then examined. In the left lobe, quadrate lobe, and caudate process where atrophic fibrosis was noted, the bile ducts became rod-shaped by losing branches, and the samples resembled dead branches of liver. Portal branches were thinned or completely terminated with marked fibrosis. Fine and irregular newly formed bile ducts not parallel with portal branches were observed in livers with markedly chronic fascioliasis. Distal portal branches in the right lobe, caudate lobe, and papillary process showed hypertrophic proliferative changes. The arterial system was generally well developed in thickened walls of bile ducts and formed vascular beds, and surrounded the bile ducts as tubes. In livers with severe fibrosis, capillaries were markedly developed and resembled glass cotton.

Animals↗

Control of branching during the biosynthesis of asparagine-linked oligosaccharides.

Many mammalian and avian complex carbohydrates (glycoproteins and glycolipids) have highly branched oligosaccharides. Although the function of complex carbohydrates is not known, there is evidence to suggest that oligosaccharide branching may be an important factor in the process by which cells recognize one another and their environment. Asparagine-linked (N-glycosyl) oligosaccharides can be subdivided into at least 12 classes according to their branching patterns. It is presently believed that these classes all stem from a common precursor oligosaccharide containing three D-glucose, nine D-mannose, and two N-acetyl-D-glucosamine residues. This precursor is incorporated into the protein backbone in the rough endoplasmic reticulum and is then processed within the endoplasmic reticulum and Golgi apparatus by a series of highly specific glycosidases and glycosyltransferases to yield the various classes of N-glycosyl oligosaccharides. The branches that occur in N-glycosyl oligosaccharides are usually initiated by the incorporation of a N-acetylglucosamine (GlcNAc) residue. Our laboratory has studied four of the N-acetylglucosaminyltransferases (GlcNAc-transferases) involved in this initiation process. We have defined various factors which determine the synthetic pathway. There are at least three types of control that are commonly found. (i) Tissues differ in the relative activities of the different glycosyltransferases and glycosidases and, therefore, competition between two or more enzymes for a common intermediate often determines the synthetic route. (ii) The incorporation of a key glycosyl residue into an oligosaccharide may convert a nonsubstrate to a substrate for either a glycosyltransferase or a glycosidase. (iii) Conversely, the incorporation of a key residue may convert a substrate into a nonsubstrate. Other controls are undoubtedly operative during glycoprotein synthesis: e.g., the effect of the polypeptide sequence on transferase specificity, the distribution of transferases along the endomembrane system, and compartmentation and the availability of substrates and cofactors. These factors have not been studied in our laboratory. However, the oligosaccharides made by the hen oviduct correlate quite well with the control factors elucidated by our approach; other tissues are presently under investigation. Recent studies on the three-dimensional structures of N-glycosyl oligosaccharides have enabled us to explain certain features of glycosyltransferase substrate specificity on the basis of steric factors.

Animals↗

Analysis of non-radial interneuron migration dynamics and its disruption in Lis1+/- mice.

Cell migration is an integral process in neural development. Analyses of radial cell migration (RCM) have revealed three modes of migration and specific defects in migration in various mouse mutants. In contrast, the dynamics of non-radial cell migration (NRCM) are incompletely understood. To investigate the dynamics of NRCM, we utilized a slice culture assay coupled with time-lapse videomicroscopy. This analysis revealed that non-radially migrating cells have a complex pattern of extending and retracting one or multiple processes while the nucleus advances concurrently or independently. These data indicate that the process of interneuron migration is unique to that seen for any mode of RCM. Non-radially migrating neurons moved for an average of 0.85 microm/min and paused for approximately 14% of the time observed. Given the novel morphology of NRCM, we hypothesized that specific aspects of migration would be defective with mutations in known cell migration genes, as described for RCM. This was tested by examining the dynamics of migration in the Lis1 mutant mouse; a well-defined cell migration mutant with known defects in NRCM. In contrast to wild-type cells, the rate of nuclear movement was significantly reduced in Lis1+/- interneurons, whereas the rate of active leading edge movement was similar. Morphologically, the leading process was significantly longer and the number of branches reduced in Lis1+/- mice. Together, these data indicate that the NRCM defect in Lis1+/- mice affects specific cellular processes. These data provide insight into NRCM and practical methods for future studies on the role(s) of specific genes in interneuron migration.

Animals↗

Ultrastructure of the vocal process of the arytenoid cartilage.

An investigation of the ultrastructure of the vocal process of the arytenoid cartilage was performed on excised human adult larynges. The results are summarized as follows. 1) The size of the chondrocytes is small and their density is high at the tip of the vocal process. 2) The size of the chondrocytes increases and their density decreases toward the posterior portion of the vocal process. 3) At the tip of the vocal process, the collagenous fibers are thin and run in various directions. 4) The thickness of the collagenous fibers increases and they form thick bundles toward the posterior portion of the vocal process. 5) The elastic fibers are dense at the tip of the vocal process, and their number decreases toward the posterior portion of the vocal process. 6) The elastic fibers, which are slender, branched, and anastomosed to form a loose network, run among the collagenous fibers at the tip of the vocal process. 7) Elaunin fibers are the predominant elastic fibers at the tip of the vocal process. 8) Even in the hyaline cartilage portion of the vocal process, elastic fibers are found. 9) The vocal processes are firm in forming the framework of the glottis and are more pliable toward the tip. 10) The 3-dimensional structure of the gradual changes in stiffness between the vocal fold and the vocal process makes a functional contribution to the roles of the vocal folds and the vocal processes.

Adult↗

In vivo dynamics of CNS sensory arbor formation: a time-lapse study in the embryonic leech.

In the embryo of the leech Hirudo medicinalis, afferent projections of peripheral sensory neurons travel along common nerve tracts to the CNS, where they defasciculate, branch, and arborize into separate, modality-specific synaptic laminae. Previous studies have shown that this process requires, at least in part, the constitutive and then modality-specific glycosylations of tractin, a leech L1 homologue. We report here on the dynamics of growth of these projections as obtained by examining the morphology of single growing dye-filled sensory afferents as a function of time. Using 2-photon laser-scanning microscopy of the intact developing embryo, we obtained images of individual sensory projections at 3 to 30 min intervals, over several hours of growth, and at different stages of development. The time-lapse series of images revealed a highly dynamic and maturation-state-dependent pattern of growth. Upon entering the CNS, the growth cone-tipped primary axon sprouted numerous long filopodial processes, many of which appeared to undergo repeated cycles of extension and retraction. The growth cone was transformed into a sensory arbor through the formation of secondary branches that extended within the ganglionic neuropil along the anterior-posterior axis of the CNS. Numerous tertiary and quaternary processes grew from these branches and also displayed cycles of extension and retraction. The motility of these higher-order branches changed with age, with younger afferents displaying higher densities and greater motility than older, more mature sensory arbors. Finally, coincident with a reduction in higher order projections was the appearance of concavolar structures on the secondary processes. Rows of these indentations suggest the formation of presynaptic en-passant specializations accompanying the developmental onset of synapse formation.

Animals↗

Neurosecretory endings in the rat neurohypophysis are en passant.

A combination of Golgi, Phaseolus vulgaris leucoagglutinin, and transmission electron microscopic (EM) techniques was used to investigate the morphology of neurosecretory axons and their endings in the neurohypophysis of the rat. Light microscopy indicated that the neurosecretory processes are very tortuous, varicose, and branched, often running in close association with blood vessels. EM, as well as reconstruction from serial thin sections, demonstrated that the combination of synaptoid membrane specializations, dense core vesicles, and accumulations of microvesicles, thought to indicate areas of preferential hormone release, can occur anywhere that the axons contact the basal lamina (BL) lining the perivascular space. Usually, but not always, this was accompanied by some degree of axonal dilation. Individual neurosecretory axons frequently entwined around, or ran adjacent to, blood vessels, a short length of axon forming multiple "endings." Thin glial (pituicyte) processes were interposed between these endings. Axonal processes were also seen to end blindly as end-bulbs suspended in the perivascular space where they were often surrounded by pituicyte processes. The morphology observed suggests that reductions in the contact length of individual nerve terminals could be mediated through increased pituicyte coverage along BL. Conversely, a reduction of pituicyte coverage along the BL could lead to more areas of axonal contact with the BL inducing or allowing the formation of more endings, such as has been reported to occur during lactation or prolonged elevation of plasma testosterone levels.

Animals↗

Developing reflective practice in mental health nursing through critical incident analysis.

Critical incident analysis has been espoused as a valuable method of promoting reflective nursing practice and as a tool for developing curriculum content. Despite an obvious application to mental health nursing, however, there has been little detailed examination of the practicalities and educational value of critical incident analysis within a mental health nursing curriculum. This paper is based on the use of critical incident analysis within the mental health branch of a Project 2000 diploma course. It presents the content of material brought by students, teaching methods used to facilitate learning, and the progressive development of students' reflective processes over the course of a complete branch programme. Using Benner's (1984) From Novice to Expert, the authors explore questions regarding the nature and effects of the critical incident technique in attaining competence in mental health nursing skills. The authors conclude with a theory-based evaluation and analysis of this student-centered experiential approach to learning as a method for developing reflective practice, and suggest areas for educational research.

Clinical Competence↗

A new concept of fibrin formation based upon the linear growth of interlacing and branching polymers and molecular alignment into interlocked single-stranded segments.

In a previous electron microscopic study of early fibrin polymers processed by freeze drying and rotatory shadowing, a large proportion of loosely constructed, frequently branching linear molecular chains was observed; their structural organization was inconsistent with a half-staggered double-stranded model for fibrin polymerization. These conflicting results prompted us to investigate the structure of early fibrin polymers prepared according to a large variety of methods currently used for electron microscopy of macromolecules. By use of a systematic random sampling procedure, fibrin polymers were photographically recorded. They were classified according to their morphological form, and the frequency of occurrence of each configuration was determined. Half-staggered double-stranded forms accounted for less than 1% of all types encountered. Interpretation of the structural organization manifested in the diverse polymer forms observed necessitated the construction of a new interlocked single-strand model for fibrin polymerization. The fibrin polymerization process combines simultaneous propagation of linear growth, branching, and lateral interlocking (leading to lateral association), resulting in the rapid formation of a fibrin network. The structural pattern developing during growth of fibrin polymers appears to be determined principally by the enzymatic mechanism and not solely by the intrinsic molecular structure of fibrinogen. The validity of the interlocked single-strand model was tested by selective fibrinopeptide-B-releasing experiments. Under such activation conditions, the polymer forms predicted according to this and the half-staggered double-strand models should differ; the structures observed were indeed consistent with the interlocked single-strand hypothesis. The compatibility of existing data with this model is discussed.

Fibrin↗

Stem CO2 release under illumination: corticular photosynthesis, photorespiration or inhibition of mitochondrial respiration?

In illuminated stems and branches, CO2 release is often reduced. Many light-triggered processes are thought to contribute to this reduction, namely photorespiration, corticular photosynthesis or even an inhibition of mitochondrial respiration. In this study, we investigated these processes with the objective to discriminate their influence to the overall reduction of branch CO2 release in the light. CO2 gas-exchange measurements of young birch (Betula pendula Roth.) branches (< 1.5 cm) performed under photorespiratory (20% O2) and non-photorespiratory (< 2%) conditions revealed that photorespiration does not play a pre-dominant role in carbon exchange. This suppression of photorespiration was attributed to the high CO2 concentrations (C(i)) within the bark tissues (1544 +/- 227 and 618 +/- 43 micromol CO2 mol(-1) in the dark and in the light, respectively). Changes in xylem CO2 were not likely to explain the observed decrease in stem CO2 release as gas-exchange measurements before and after cutting of the branches did not effect CO2 efflux to the atmosphere. Combined fluorescence and gas-exchange measurements provided evidence that the light-dependent reduction in CO2 release can pre-dominantly be attributed to corticular refixation, whereas an inhibition of mitochondrial respiration in the light is unlikely to occur. Corticular photosynthesis was able to refix up to 97% of the CO2 produced by branch respiration, although it rarely led to a positive net photosynthetic rate.

Betula↗

Centrilobular opacities in the lung on high-resolution CT: diagnostic considerations and pathologic correlation.

Accurate assessment of high-resolution CT scans of the lung requires a knowledge of secondary lobular anatomy. Opacity that localizes to the centrilobular region implies the presence of a disease process that primarily involves centrilobular bronchioles, lymphatics, or pulmonary arterial branches. We illustrate the high-resolution CT findings of many of these processes and provide pathologic correlation for cases in which it was available.

Humans↗

Regulation of axon growth in vivo by activity-based competition.

The formation of functional neural networks requires precise regulation of the growth and branching of the terminal arbors of axons, processes known to be influenced by early network electrical activity. Here we show that a rule of activity-based competition between neighbouring axons appears to govern the growth and branching of retinal ganglion cell (RGC) axon arbors in the developing optic tectum of zebrafish. Mosaic expression of an exogenous potassium channel or a dominant-negative SNARE protein was used to suppress electrical or neurosecretory activity in subsets of RGC axons. Imaging in vivo showed that these forms of activity suppression strongly inhibit both net growth and the formation of new branches by individually transfected RGC axon arbors. The inhibition is relieved when the activity of nearby 'competing' RGC axons is also suppressed. These results therefore identify a new form of activity-based competition rule that might be a key regulator of axon growth and branch initiation.

Animals↗

The dorsal unpaired median neurons of the locust metathoracic ganglion: neuronal structure and diversity, and synapse distribution.

Dorsal unpaired median ( DUM ) neurons are bilaterally symmetrical. A single primary neurite arises from the soma and runs anteriorly through the neuropil before dividing into two lateral neurites which pass to the nerve roots on each side of the ganglion. The primary neurite runs in one of two tracts, one of which lies further from the surface of the ganglion than the other. The primary neurites in the deeper tract belong to DUM1 , DUM5 and DUM3 ,4,5 neurons, and those in the more superficial tract, to DUM3 , DUM3 ,4 and DUM3 ,4,5 neurons. Previous studies have shown that in the developing embryonic nervous system the primary neurites of DUM neurons can also be observed to lie in one of two tracts, but these do not appear to correspond to those seen in the adult. The results described here differ further from those of other investigations of adult and embryonic locusts in that no DUM4 ,5 neurons were seen, but DUM3 ,4 neurons, not found in previous studies, were frequently stained. The secondary neurites of DUM neurons characteristically give rise to fine 0.2-0.5 micron diameter processes which may run for hundreds of microns through the neuropil with very little branching. The problems this may pose for signal transmission along such processes is discussed. Presynaptic processes of several types make inputs on to spines on the lateral neurites of DUM neurons and on to branches from secondary neurites. Output synapses were rarely observed and were found only on lateral neurite spines. It therefore appears unlikely that the DUM neurons examined play a major central role within the metathoracic ganglion. A novel structure, with the appearance of a presynaptic density but which was not associated with synaptic vesicles, was found in certain regions of the neurons.

Animals↗

Early ontogeny of the vagus nerve: an analysis of the medulla oblongata and cervical spinal cord of the postnatal rat.

Retrograde transport of cholera toxin conjugated with horseradish peroxidase in the postnatal rat has revealed remarkable features of dendritic fields of vagal motor neurons in the medulla oblongata and cervical spinal cord during the period of early development (0-10 days). At birth, vagal motor neurons in the dorsal motor nucleus of the vagus, nucleus ambiguus, nucleus retroambigualis, nucleus dorsomedials and the spinal nucleus of the accessory nerve are small with relatively few, unbranched processes. The span of the dendritic tree is much smaller than that found in adult animals. By the postnatal Day 2 there are marked changes in the soma as well as in the dendritic tree of these neurons. There is dispersion of the cell bodies within the neuropil as well as an expansion of the total area of the brain stem occupied by these motor neurons and their dendritic processes which show extensive growth and branching. By postnatal Day 3 the most extensive proliferation of these neurons is seen and appears to represent the peak of dendritic growth of vagal motor neurons such that the area occupied by the dendritic tree of a single neuron is three times that seen in an adult rat. This proliferation gradually decreased during the subsequent seven days of early development (i.e. Days 4-10) so that by Day 10 the dendritic span of vagal motor neurons was reduced to about twice the adult size. This growth progressively decreased from Days 10 to 30 at which time adult levels were reached. Ultrastructural examination of these horseradish peroxidase labeled dendrites showed a positive correlation between the number of dendritic processes and the number of axo-dendritic synapses. This was accompanied by an increase in the number of identifiable synaptic junctions. These morphological complexities observed during the period of early development of vagal motor neurons indicate that the vagus nerve undergoes dramatic changes during the period of early development including the establishment of numerous synaptic contacts between vagal afferents and efferents in the brainstem. A number of these changes occur in developing dendritic fields of vagal motor neurons during the first three days of neonatal life. It is reasonable to assume that developmental abnormalities during this "critical period" could produce significant functional changes in the pattern of respiration as well as in the control of airway smooth muscle.

Aging↗

Vestibular function after acoustic neuroma removal with preservation of one branch of the vestibular nerve.

BACKGROUND: Vestibular compensation after acoustic neuroma surgery is affected by many parameters. Apart from surgical approach, age of the patient, and comorbidity, the use of rehabilitative vestibular training and the degree of preoperative vestibular compensation play their respective roles. OBJECTIVE: To examine whether and how surgical preservation of one branch of the vestibular nerve affects the compensation process in patients after acoustic neuroma removal. STUDY DESIGN: Prospective study involving 29 patients with acoustic neuromas. In 15 patients operated on by the middle fossa or retrosigmoid approach, one branch of the vestibular nerve could be preserved intraoperatively, and the course of the compensation process was followed (Group 1). Fourteen other patients with acoustic neuroma, who were operated on via a translabyrinthine approach, served as a control group (Group 2). MAIN OUTCOME MEASURE: The evaluation of vestibular compensation was accomplished clinically, by electronystagmography, and by dynamic posturography. RESULTS: An accelerated vestibular compensation was found in all examinations for Group 1, and 3 months after surgery 47% of the patients in this group were back to work without substantial restrictions, compared with 29% of Group 2. At the end of 6 months, however, there was no more significant difference between the two groups. CONCLUSION: The long-term results of vestibular compensation do not seem to be influenced by partial preservation of the vestibular nerve, whereas the compensation process seems to be accelerated when the nerve is partially preserved.

Electronystagmography↗

Principles of branch formation and branch patterning in Hydrozoa.

The freshwater polyp Hydra produces buds which separate from the parent. Other Hydrozoa produce branches which remain connected to the parent, thus forming a colony. Some Hydrozoa grow by means of an organ that is like a shoot apical meristem. Others display a sympodial type of growth. In this article, I propose that these different types of branches are organized by a common pattern-forming system. This system has self-organizing properties. It causes branch tip formation and is kept active in the tip when the tip finally differentiates into a hypostome of a polyp. The system does not cause structure formation directly but rather, determines a tissue property called positional value, in such a way that a gradient of values forms in the tissue of the bud or branch. The local value determines the local morphodynamic processes, including differentiation of the hypostome (highest positional value), tentacles and basal disc and of the exoskeleton pattern along the shoot. A high positional value favors the onset of a new self-organizing process and by lateral inhibition, such a process prevents the initiation of a further process in its surroundings. Small quantitative differences in the range of the signals involved determine whether a bud or a branch forms and whether monopodial and sympodial growth follows.

Animals↗

Morphological plasticity in fungi.

Fungi grow for the most part as hyphae extending at their tips. Hyphae aggregate into mycelia, the form of which is dependent on many factors but often on the density of tips which is a function of such factors as the degree of hyphal branching, anastomoses and tip and hyphal death. Some possible mechanisms behind these processes are considered. A particularly important element in tip growth and branching is the movement of protons across the plasma membrane. Certain rhythmic growth phenomena are discussed in these terms. Another important element in morphological development is water flow bringing about a redistribution of solutes within a mycelium and probably influencing wall hydration and wall extensibility. Finally, special consideration is given to development of basidiomycete vegetative mycelium where there are indications that cytoplasmic factors can modulate the expressions of the nuclear genome.

Basidiomycota↗