A case of HeartMate II implantation in non-dilated left ventricle

Journal of Artificial Organs - Left ventricular assist device is an established therapeutic option for the patient with end-stage heart failure. Recently, durable continuous-flow devices have...     

Electrophysiological evaluation of a chronically implanted electrode for suprachoroidal transretinal stimulation in rabbit eyes

Journal of Artificial Organs - In this study, we aimed to determine the electrophysiological efficacy, safety, and electrical stability of a chronically implanted electrode for suprachoroidal...     

Restless legs syndrome effectively treated with constant-pressure predilution online hemodiafiltration

Journal of Artificial Organs - We encountered a case of unstable predilution online HDF due to elevated transmembrane pressure (TMP) when performing constant-speed predilution online...     

Catalase expression of Propionibacterium acnes may contribute to intracellular persistence of the bacterium in sinus macrophages of lymph nodes affected by sarcoidosis

Immunologic Research - Bacterial catalase is important for intracellular survival of the bacteria. This protein of Propionibacterium acnes, one of possible causes of sarcoidosis, induces...     

DXA-Rectified Appendicular Lean Mass: Development of Ultrasound Prediction Models in Older Adults

Objective

Dual-energy X-ray absorptiometry (DXA)-derived appendicular lean soft tissue mass (aLM) is used to diagnose sarcopenia. However, DXA-derived aLM includes non-skeletal muscle components, such as fat-free component of adipose tissue fat cell. These components, if not accounted for, could falsely inflate the aLM in individuals with a high amount of adipose tissue mass. B-mode ultrasound accurately measures muscle size in older adults. We sought to develop regression-based prediction equations for estimating DXA-rectified appendicular lean tissue mass (i.e. DXA-derived aLM minus appendicular fat-free adipose tissue (aFFAT); abbreviated as aLM minus aFFAT) using B-mode ultrasound.

Design

Cross-sectional study.

Measurements

Three hundred and eighty-nine Japanese older adults (aged 60 to 79 years) volunteered in the study. aLM was measured using a DXA, and muscle thickness (MT) was measured using ultrasound at nine sites. An ordinary least-squares multiple linear regression model was used to predict aLM minus aFFAT from sex, age and varying muscle thicknesses multiplied by height. Based on previous studies, we chose to use 4 MT sites at the upper and lower extremities (4-site MT model) and a single site (1-site MT model) at the upper extremity to develop prediction models.

Results

The linear prediction models (4 site MT model; R² = 0.902, adjusted R² = 0.899, and 1-site MT model; R² = 0.868, adjusted R² = 0.866) were found to be stable and accurate for estimating aLM minus aFFAT. Bootstrapping (n=1000) resulted in optimism values of 0.0062 (4-site MT model) and 0.0036 (1-site MT model).

Conclusion

The results indicated that ultrasound MT combined with height, age and sex can be used to accurately estimate aLM minus aFFAT in older Japanese adults. Newly developed ultrasound prediction equations to estimate aLM minus aFFAT may be a valuable tool in population-based studies to assess age-related rectified lean tissue mass loss.

     

The influence of medial implant location in three-unit posterior cantilever fixed partial dentures on stress distribution in surrounding mandibular bone

This study examined the influence of medial implant location in three-unit posterior cantilever fixed partial dentures (FPDs) on stress distribution in mandibular bone surrounding two implants. A three-dimensional finite element model that included three-unit FPD and two cylindrical-type implants (4 mm in diameter and 10 mm in length) osseointegrated in the posterior mandible, was digitized. Five different models were created according to the medial implant location between the missing second premolar and the first molar location. The distal implant was fixed at the missing second molar location. Oblique bite force of 100 N at 30 degrees buccal to the vertical direction was directed on each of three artificial teeth, respectively and simultaneously, while the lower surface of the mandible was fixed. The maximum equivalent stress in the cortical and the trabecular bone generally increased as the medial implant shifted to a distal position. Under the simultaneous bite force, relatively low maximum stresses within the cortical bone: between 55 MPa and 57 MPa, were shown in the models with the medial implant placed within the range of one implant diameter from the most medial position, while higher maximum stresses: between 64 MPa and 73 MPa, were demonstrated with more distally placed medial implants. The results suggest that reasonably low mechanical stress in the surrounding bone may be assured when the medial implant is placed in the range between the missing second premolar position and one implant diameter distal from that location.     

Cyclic changes in the properties of maturing enamel in the bovine permanent incisor as revealed by glyoxal bis(2-hydroxyanil) staining

Staining patterns of the surface and interior of maturing enamel of these tooth germs were examined using the glyoxal bis(2-hydroxyanil) (GBHA) solution which chelates with calcium loosely bound to hydroxyapatite to form insoluble red precipitates. An intense red, band-like pattern of GBHA staining, 1-2 mm wide, first appeared on the incisal portion of lingual enamel surface as complete loops, concentrically arranged; these gradually increased in number. Most of the later-formed bands encircled the entire periphery of the maturing enamel surface. GBHA also revealed reactive areas on the labio-lingual, cut and ground surface of maturing enamel, corresponding exactly to the surface GBHA bands. GBHA did not stain EDTA-etched surface enamel, but did reveal regular staining patterns on the ground surface, disclosed after EDTA treatment. These observations suggest an intimate correlation between the properties of interior and surface enamel, at least with regard to the state of local calcium. The maturation of bovine incisor enamel may start at the lingual aspect of the tooth crown.     

Leiomyomatous hamartoma of the midline maxillary gingival presenting as a congenital epulis: a case report with an immunohistochemical study

An otherwise-healthy 2-year-old Japanese female presented with a polyp-like lesion on the palatal surface at the incisive papilla. The appearance of the lesion was similar to that of a congenital epulis. The histological findings showed proliferating mesenchymal components that contained mainly smooth muscle admixed with collagen fibres, nerve fibres, small vessels and mucous salivary glands. The immunohistochemical staining findings for α-smooth-muscle actin, desmin and S-100 protein were all positive. The histological diagnosis was therefore leiomyomatous hamartoma, based on clinical microscopic observations.     

Effects of Actinomyces and Fusobacterium on humoral immune response in vitro

The purpose of this study was to examine the effects of Actinomyces viscosus and Fusobacterium nucleatum sonicates on antibody formation in vitro and to elucidate their mechanisms on the cellular basis. Suspensions of A. viscosus and F. nucleatum were sonicated, and the supernatant was filtered and heated. After AKR mouse spleen cells were stimulated with sheep red blood cells, the antibody formation was assayed by counting the plaque-forming cells (PFC). Macrophages, T- and B-cells were harvested from the mouse peritoneal exudate and spleen. Mitogenicity of the sonicates was determined by counting the uptake of ³H-thymidine.
The PFC number, when A. viscosus or F. nucleatum sonicate was added, increased significantly by 2.4–6.6 times more than the control. Two sonicates were found to activate the macrophages, resulting in an increase of PFC.
F. nucleatum sonicate was effective to PFC response via activation of helper T-cells. Stimulation index of F. nucleatum sonicate on T-cells was 4.1 and that of A. viscosus sonicate on B-cells was 3.2. In conclusion, the enhanced antibody formation by A. viscosus sonicate depends on the activation of macrophages and B-cell mitogenicity, and the F. nucleatum sonicate enhances the PFC response by activation of both macrophages and helper T-cells and by T-cell proliferation.