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B Medalion

Publications and source records attributed to B Medalion.

21 records · Page 2Linked to original sources

Open heart operation after pneumonectomy.

A coronary artery bypass operation was performed successfully on a 70-year-old patient who had undergone left pneumonectomy 40 years earlier. This case, together with a search of the literature and a mail survey among 118 cardiothoracic surgeons worldwide, yielded data on 27 such patients for review. Two patients died perioperatively. Three patients had pneumothorax, and 1 patient had recurrent pleural effusion. Difficulty in exposing the circumflex marginal branches was reported in 2 patients after left pneumonectomy. We conclude that with attention to the specific features of the preoperative, intraoperative, and postoperative management, open heart procedures can be performed on patients after pneumonectomy with acceptable operative mortality and morbidity.

Aged↗

Perception of the immediate extrapersonal space through proprioceptive inputs.

In the present work we sought to examine the idea that an internalized representation of space can be formed and used in the absence of visual information. To this end human subjects were trained to locate 5 points within a horizontal plane at shoulder level, under guidance of an acoustic signal. Next, reaching accuracy was determined for both the trained and the untrained hands without external cues. This allowed comparison of hand positioning that could be based upon a memory trace or proprioceptive inputs (trained hand) to hand positioning that must be based upon a more abstract internal representation than proprioceptive memory (untrained hand). The effect of training on reach accuracy of the two hands and the effect of prolongation the time interval between guided and recall (unguided) trials were studied. Finally, subjects were asked to interpolate between already learned target positions, a procedure which tested their ability to utilize an abstract construct of space. The relative contribution of the elbow and shoulder joints to reaching errors was determined. This analysis served to evaluate whether representation of spatial locations was based on joint angle coordinates, or on a more abstract extracorporeal reference system. Our results indicate that a memorized sensory image of the limb, which corresponds to the hand being at the target position, is used whenever possible. An abstract representation of position is used whenever comparison of the actual sensory input to a memorized sensory trace is made impossible, costing an approximately 25% reduction in accuracy.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Detection of sodium channel distribution in rat sciatic nerve following lysophosphatidylcholine-induced demyelination.

In vivo application of lysophosphatidylcholine (LPC) to rat sciatic nerve induces impaired hind leg movement within 2 days which is recovered by 6 days. Segmental demyelination was seen at 2 days after LPC application, and remyelination had barely started in a few axons by 6 days. Using sodium channel-specific monoclonal antibodies and immunofluorescence microscopy, we observed altered distribution of sodium channels in demyelinated axons. Bright fluorescent labeling was found along the segmentally demyelinated axolemma at 6 days in contrast to the dim staining of the demyelinated nerve found at 2 days. In addition, radioimmunoassays detected an elevated number of antibody binding sites on sciatic nerve trunk from the sixth day. Our data provide the immunocytochemical evidence for the assumption that recruitment of sodium channels into demyelinated axolemma contributes to the recovery of function following axon demyelination by LPC.

Action Potentials↗