[Experiences of the Stockholm County Council. Concentration on education in psychological and social disaster planning is a good investment].
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Biomedical subjects
Publications and source records attributed to A Schulman.
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Five dental alloys, on exposure to blood and chocolate media with and without inoculated microorganisms, showed varying degrees of tarnish. The results indicated a composition-dependent tarnish behavior of alloys in microorganism-inoculated media, indicating a potential role for the oral microorganisms in inducing clinically observed tarnish of dental alloys. Actinomyces viscosus and periodontal pocket specimens show a similarity in their activity to induce tarnish in base metal-containing dental alloys.
Mucormycosis is an acutely malignant fungal disease causing local thrombosis and infarction. Gastrointestinal infection most commonly occurs in diabetics or in the immunologically compromised. This case demonstrates the radiological appearances of the gastrointestinal lesion and prolonged survival with amphotericin-B therapy.
Lymphatic abnormalities are not generally recognized as part of the Noonan syndrome. A child with this condition in whom unique and widespread lymphatic abnormalities were demonstrated by lymphography is described. Both T and B lymphocytes were detected in chylous fluid drained from the thorax. In addition, the child was found to have a protein-losing enteropathy and cardiovascular defects. The clinical spectrum of the Noonan syndrome may include animalies of the lymphatic system.
The accuracy of ultrasonography in the diagnosis of jaundice in 70 patients has been compared with that of transhepatic cholangiography and the results of surgery and liver biopsy. A simplified system of grouping the ultrasonic data is presented. The results indicate that ultrasonography is capable of differentiating obstructive from non-obstructive jaundice in 94% of cases and of defining the correct anatomical level in 85% of cases. The accuracy of narrow-needle cholangiography was 100% for obstructive jaundice and 66% normal duct entry rate for non-obstructive jaundice.
The in vitro deformation failure behavior of the conventional and the recent high copper dental amalgams is studied under different strain rates. The conventional silver-tin amalgams exhibited significant slow compressive flow at low strain rates, but failed catastrophically at the higher loading rates. On the other hand, amalgams containing highest copper contents showed no compressive flow and failed catastrophically at all the loading rates. The slow compressive flow in the conventional dental amalgams indicate that dislocations may play an important role in the deformation process of the amalgams at the lower strain rates.
A number of base metal and low gold-content alloys were evaluated in hamster cheek pouches for biocompatibility. No adverse weight changes and no abnormal behavioral patterns were noted in any of the test groups over the 14-day period of the study. Gross examination of the cheek pouches containing the alloys was no different from that of the controls. None of the alloys tested showed significant adverse histopathologic reactions. The recorded changes in incidences and degree of response were essentially no different from those of the negative control material.
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On the basis of this study, the following conclusions can be made:--Although the primary cause of the diminution of cutting efficiency when composite restorations are cut is due to abrasion, a secondary cause is the adhesion of the melted resin to the flutes.--Amalgams and tooth structures cause significantly less wear to burs than composite restorations.--The design of burs currently used is probably a poor choice to remove composite restorations.
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Seven cases of subpulmonary pneumothorax are presented: four due to penetrating injury, two to blunt trauma and one to osteosarcoma metastasis. The typical and diagnostic appearance is a basal band of radiolucency bounded above by the thin hair-line of visceral pleura paralleling the dome of the hemi-diaphragm. When partially clotted blood is also present, the appearance becomes less typical and has to be differentiated from traumatic diaphragmatic herniation of bowel and from traumatic pneumatocoele by barium studies and by decubitus radiographs respectively. It is the bridge-like disposition of the pleural cavity between the dome of the hemi-diaphragm and the hollowed concavity of the lung base which allows pneumothorax to collect in it. It is rarely seen because blebs and bullae which are the commonest causes of pneumothorax are most often located in the upper zones.
Recent modification of percutaneous transhepatic cholangiography has resulted in success rates of 100% in opacifying obstructed biliary systems and of 50% in unobstructed systems. The authors use a 23-gauge needle with a 2- or 5-ml syringe for injecting contrast medium at high pressure. Only one puncture of the liver surface is usually required. Complications have not occurred in unobstructed cases, but early operation is still recommended in obstructed cases.
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The chromatographic properties on thin layers of poly(ethyleneimine) cellulose of sixteen compounds containing the pyridine and/or adenine ring have been studied. Chromatographic mobilities have been examined as a function of the concentration of lithium chloride or sodium formate buffer in the chromatographic solvent. These data provide a rationale for the development of rapid and simple separation methods that should prove useful in the study of pyridine and adenine nucleotide metabolism.
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Infestation of the bile ducts by the adult Ascaris lumbricoides roundworm is a common condition in many parts of the world. The most frequent clinical presentation is as upper abdominal colicky pain with a normal or only slightly raised serum bilirubin. In most cases these worms can be visualized by intravenous cholangiography because of the absence of obstructive jaundice and can therefore be specifically treated by nonsurgical methods. The radiographic appearance is diagnostic. This is the first report of such a case presenting in North America or the United Kingdom, where the importance of biliary ascariasis in endemic areas is not fully appreciated.