广西鼠疫指示动物犬血清IHA、ELISA检测鼠疫F1抗体的一致性研究

目的 了解应用IHA、ELISA检测鼠疫F1抗体的一致性,评价方法的优劣,以便更好地制订鼠疫监测的方法及防治策略.方法 对广西鼠疫监测点隆林、西林县的犬血清使用IHA及ELISA两种试验方法,并进行一致性研究,评价IHA与ELISA方法的可靠性.结果 IHA检测鼠疫F1抗体阳性率为0,ELISA检测鼠疫F1抗体的总阳性率为4.4%(12/273);IHA与ELISA之间的一致性为95.6%,其Kappa值等于0,呈轻度一致.结论 间接血凝试验方法特异、操作简便是传统的鼠疫监测手段之一;酶联免疫吸附试验具有敏感性高、特异性强、操作简便等特点,且与间接血凝试验有轻度一致性,适宜在鼠疫监测中推广应用.     

Topical negative pressure wound therapy: a review of its role and guidelines for its use in the management of acute wounds

Over the past two decades, topical negative pressure (TNP) wound therapy has gained wide acceptance as a genuine strategy in the treatment algorithm for a wide variety of acute and chronic wounds. Although extensive experimental and clinical evidence exists to support its use and despite the recent emergence of randomised control trials, its role and indications have yet to be fully determined. This article provides a qualitative overview of the published literature appertaining to the use of TNP therapy in the management of acute wounds by an international panel of experts using standard methods of appraisal. Particular focus is applied to the use of TNP for the open abdomen, sternal wounds, lower limb trauma, burns and tissue coverage with grafts and dermal substitutes. We provide evidence-based recommendations for indications and techniques in TNP wound therapy and, where studies are insufficient, consensus on best practice.     

X-Nuclei NMR Self-Diffusion Studies in Mesoporous Silica Foam and Microporous MOF CuBTC

A standard X-observe NMR probe was equipped with a z-gradient coil to enable high-sensitivity pulsed field gradient NMR diffusion studies of Li⁺ and Cs⁺ cations of aqueous salt solutions in a high-porosity mesocellular silica foam (MCF) and of CO₂ adsorbed in metal-organic frameworks (MOF). The coil design and the necessary probe modifications, which yield pulsed field gradients of up to ±16.2 Tm^-1, are introduced. The system was calibrated at ²H resonance frequency and successfully applied for diffusion studies at ⁷Li, ²³Na, ¹³C and ¹³³Cs frequencies. Significant reductions of the diffusivities of the cations in LiCl_ac and CsCl_ac solution introduced into MCFs are observed. By comparison of the diffusion behavior with the bulk solutions, a tortuosity of the silica foam of 4.5 ± 0.6 was derived. Single component self-diffusion of CO₂ and CH₄ (measured by ¹H NMR) as well as self-diffusion of the individual components in CO₂/CH₄ mixtures was studied in the MOF CuBTC. The experimental results confirm high mobilities of the adsorbed gases and trends for diffusion separation factors predicted by MD simulations.     

Per-implant care of ailing implants with the carbon dioxide laser.

One of the many applications for which lasers have been proposed in implant dentistry is for the decontamination process. The purposes of this study were to assess possible alterations in titanium implants in vitro and in vivo by use of the carbon dioxide (CO2) laser and to determine whether new bone formation can occur on previously contaminated implants. In vitro, temperature changes at the bone-titanium implant interface were recorded during use of a CO2 laser-scanning system (Swiftlase). Additionally, the effects of laser irradiation on titanium implants at various power settings were examined. In 6 beagle dogs, a total of 60 implants and bony defects resulting from plaque accumulation were treated by air-powder abrasive (the conventional treatment), laser irradiation, or both. Depending on the parameters chosen, melting and other surface alterations were seen in vitro, especially in the superpulse mode. Otherwise, no alterations were found, even at high power settings in the continuous mode. In vivo, corresponding histologic examination of 4-month sections showed evidence of new direct bone-to-implant contact after laser-assisted therapy, especially when the implants had been treated concomitantly with submerged membranes. These results support the hypothesis that peri-implant defects can be treated successfully by laser decontamination without damaging the surrounding tissues in the dog model. Nevertheless, further investigations will be required to determine the clinical efficacy of the treatment.     

Spannungsanalyse des menschlichen Unterkiefers bei traumatologischen Standardsituationen mittels numerischer Simulation

For the stress analysis of the human mandible a flexible simulation concept basing on finite element-method has been developped. One of the main issues is the prediction of fractures as a consequence of known forces as well as the forensic reconstruction of the traumatologic situation. At first, the individual geometry was reconstructed by 3D-CT-Scans. To reduce the simulation efforts, for the time being the anisotropic structural mechanics of the jaw bone was neglected in favour of an homogeneous and isotropic material law. Assuming the Von-Mises-Stress as a failure indicator the results of the simulations were in good agreement with typical traumatologic situations. For further validation of the model, a real failure case, shown on a radiograph of a injured human mandible with three fractures, was simulated and, by this, the real incident was reconstructed. Reasonable planned extensions of the actual simulation concept have the regard on the nerve channel, the temporomandibular joint’s function, the paradontal apparatus and the individual mechanical properties of the bone.     

Parentage analysis by endonuclease shattering of hypervariable DNA

Single-locus DNA probes for tandem repeat sequences are now used in conjunction with particular endonucleases to characterize heritable restriction fragment lengths in parentage tests. Southern blots of this type, however, demonstrate only two attributes of an allele: its length and the presence of nucleotide sequences that are complementary to the probe. Not all restriction fragments of the same apparent length that react with the same probe are identical. Differences between comigrating fragments can be detected by the selection of a restriction enzyme that recognizes sites in a subset of the repeat sequences, and the information content of these loci is therefore increased. This report describes a paternity case in which two brothers appeared, after DNA phenotyping using Hinf I, to be the father. A second phenotyping using Hae III excluded one of the brothers.     

Carpal tunnel syndrome in young adults--an ultrasonographic and neurophysiological study.

BACKGROUND: The carpal tunnel syndrome (CTS) is by far the most frequent compression neuropathy and encompasses 45% of all non-traumatic nerve lesions. Women are affected twice as often as men and manifestation usually occurs over the age of 30; 76% of all patients become symptomatic between the age of 40-70 years. In young adults typical diagnostic clues suggestive of a CTS, may be absent leading to misdiagnosis and late treatment. PATIENTS AND METHODS: 30 patients suffering from CTS were subdivided in 2 groups according to age. Patients under the age of 35 were allocated in group A whereas patients over 35 years old were included in group B. The two groups were compared to each other in terms of demographics, clinical signs, electrodiagnosis and ultrasonography of the carpal tunnel. All patients were subjected to a decompression procedure of the median nerve and postoperative alleviation of the symptoms was considered as confirmation of the presence of a CTS. Two characteristic clinical cases of young adults suffering from CTS are demonstrated. RESULTS: The female to male ratio was higher in group A (7:1) than in group B (3:1). Only two (25%) of the patients in group A had a positive Tinel sign but in 7 patients (87.5%) the Phalen test could be readily evoked. In group B a Tinel sign was present in 45% whereas a positive Phalen test was present in 86%. A positive Tinel sign was associated with a distal motor latency beyond 4 ms in the two patients from group A. A distal motor latency was present in 95.2% of the patients in group B. In ultrasound there was an average decrease of 0.557 mm in the thickness of the median nerve throughout its course in the carpal tunnel in group B. In group A, ultrasonography revealed no significant changes in nerve diameter. DISCUSSION: The value of electrophysiological studies as a diagnostic tool in CTS still remains controversial. In young adults phenomena leading to impaired nerve conduction like axonal demyelination of the median nerve might occur later due to a higher regenerative potential. However, symptomatic patients may be strongly hindered in their everyday activities and occupation and should be readily referred to a hand specialist in spite of a negative work-up.     

Increased intracranial pressure and cardiac arrest after heart transplantation. What about the Cushing response in a denervated heart? Case report

A 13-year-old boy suffered cerebrovascular complications after heart transplantation (ischemic mass effect in the posterior cranial fossa). He had to be resuscitated from cardiac arrest with coma. After a modified cerebellar hemispherectomy the course was favorable.—The most conclusive explanation for the acute event is that a Cushing response was preserved even in the presumably denervated heart.