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Biomedical subjects

B Moroz

Publications and source records attributed to B Moroz.

9 recordsLinked to original sources

Head and neck manifestations of Kawasaki disease.

Kawasaki disease, also known as acute infantile febrile mucocutaneous lymph node syndrome, is a self-limited vasculitic disease of infants and young children. The cause of the disease remains uncertain. Within the constellation of signs and symptoms, there are numerous otolaryngologic manifestations. The following represents the largest series of patients in the otolaryngology literature, involving 155 confirmed cases of Kawasaki disease as treated at our institution during the last 10 years. The demographic data, clinical pictures of the typical and atypical forms of the illness, as well as the laboratory values, therapy and complications are discussed.

Aspirin↗

Knobloch syndrome involving midline scalp defect of the frontal region.

We report on a 4-year-old boy with Knobloch syndrome. He has vitreoretinal degeneration, high myopia, cataract, telecanthus, hypertelorism, and a high-arched palate. He also has a defect of the anterior midline scalp with involvement of the frontal bone as documented by a computed tomography (CT) scan. The brain was normal on CT scan and magnetic resonance imaging. We present a review of the 23 published cases with this syndrome. Our patient illustrates the importance of investigating for underlying ocular and central nervous system pathology whenever midline scalp defects are present.

Abnormalities, Multiple↗

The scaling and potential importance of cutaneous and branchial surfaces in respiratory gas exchange in larval and juvenile walleye

Measurements were made of the surface areas (As) of the skin and gills of larval and juvenile walleye Stizostedion vitreum with a body mass (M) of between 2mg (1 day post hatch) and 2.3g (98 days post hatch). The skin, with a relative surface area (As/M) of approximately 8500mm2g-1, accounted for more than 99.9% of the total surface area (skin + gills) at 1 day post hatch. The relative area of the skin decreased as fish grew at an allometric rate of b-1=-0.32&plusmn;0.01 (mean &plusmn; s.e.m., where b-1 is the specific-mass exponent in the allometric equation YxM-1=aMb-1, in which Y is surface area and a is a constant). The relative surface area of the gills (filaments + lamellae) increased in a hyperbolic fashion from very low levels (approximately 5mm2g-1) at 1 day post hatch to reach a maximum of approximately 1100mm2g-1 at a body mass of approximately 200mg. Thereafter, relative gill area declined at an allometric rate of b-1=-0.19&plusmn;0.10 (mean &plusmn; s.e.m.). Gill area, because it declined at a slower relative rate, finally exceeded skin area at a body mass of approximately 700mg. The relative surface area of the skin and gills combined (total surface area) decreased at a more-or-less constant allometric rate of b-1=-0.21&plusmn;0.01 (mean &plusmn; s.e.m.) throughout the experimental period. On the basis of the allometric rates of expansion, the structural capacity to supply oxygen (b-1=-0.19; total gill area, this study) and metabolic demand for oxygen (b-1~-0.13; mean literature value for routine and resting metabolism) appear to remain fairly closely matched in postlarval walleye (>300mg). The two parameters do not display the same degree of concordance during larval development. In larvae, total respiratory surface area declines on a mass-specific basis at roughly the same rate (b-1=-0.21) as gill area does in older fish but, unlike in older fish, metabolic demand for oxygen does not change (b-1~0.0). This results in a progressive decline in effective respiratory surface area (As/M.O2) but does not affect O2 uptake, probably because larvae are so small that surface area is not the limiting factor in gas exchange. Analysis of data from the literature suggests that surface area typically becomes limiting at a body mass of approximately 100mg. The major function of gills in smaller larvae (<100mg) appears to involve ionoregulation or related aspects of acid&shy;base balance rather than respiratory gas exchange.

Journal Article↗

Cutis marmorata telangiectatica congenita: long-term follow-up, review of the literature, and report of a case in conjunction with congenital hypothyroidism.

Cutis marmorata telangiectatica congenita is an uncommon, generally congenital, cutaneous condition. The major skin findings are persistent, fixed cutis marmorata, telangiectasia, and phlebectasia; often, there is associated skin atrophy and ulceration as well. Significantly, two-thirds of patients have other congenital anomalies, although often minor ones. We report a series of eight children with cutis marmorata telangiectatica congenita, including one with associated congenital hypothyroidism, a relationship that has never before been noted.

Child↗

Costello syndrome.

In 1971, Costello described a new syndrome in 2 patients. The major clinical findings comprise short stature; redundant skin of the neck, palms, soles, and fingers; curly hair; relative macrocephaly; depressed nasal bridge; papillomata around the mouth and nares; distinct facial gestalt; hyperextensible joints; and mental retardation. We present a third patient and review the manifestations of this condition.

Abnormalities, Multiple↗

Do breast-feeding and delayed introduction of solid foods protect against subsequent atopic eczema?

Previous studies relating infant feeding to subsequent atopic eczema have had methodologic flaws that include insensitive study designs, nonblind observation, and failure to control for confounding variables. To avoid these flaws, we conducted a case-control study of 636 patients attending a dermatology clinic. The dermatologic problem in each patient was classified as atopic eczema (case), dermatologic condition unrelated to atopy (control), or dermatologic condition with questionable relation to atopy (uncertain). The feeding history was ascertained later, along with family history and demographic data, by an assistant blind both to the question under study and to the case vs control status of each subject. Breast-feeding was not associated with any reduction in the estimated relative risk of developing atopic eczema. No significant relationship was found among the cases between severity of disease and breast-feeding nor between age of onset of disease and duration of breast-feeding or age at introduction of solid foods. Even when breast-feeding was redefined as "pure" and exclusive (no nonhuman milk or solids) for greater than or equal to 2 months, no protective effect was uncovered. We conclude that breast-feeding and delayed introduction of solids do not protect against atopic eczema, and that previous claims of protective effects were based on data probably biased by nonblinding and important confounders.

Adolescent↗

The effects of pursuit eye movements on single unit activity in cat visual cortex.

The pursuit eye movements were assumed to be an indicator of the time periods when visual information is actively processed. The experiment was performed on cats with pretrigeminal transection of the brain stem. In such preparations only vertical eye movements were preserved. Under these conditions the following eye movements could be evoked by vertical movements of the stimulus at the periphery of the retina. The influence of these movements on the activity of units which had their receptive fields in area centralis was tested. Contralateral eye was immobilized and the position and preferred direction of the units' receptive fields was tested. Significant differences in neuron activity correlated with the pursuit eye movement were found in 22 percent of cells. It is suggested that the effect is due rather to the active state of visual system than to the peripheral stimulation of retina or the information incoming from extraocular muscles.

Animals↗