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Biomedical subjects

D E Kelly

Publications and source records attributed to D E Kelly.

At least 91 records · Page 5Linked to original sources

Disseminated intravascular coagulation and fibrinolysis as a cause of postextraction hemorrhage. Report of a case.

Presented is a case in which severe, prolonged hemorrhage, subsequent to simple dental extractions in an 85-year-old Negro man, was due to disseminated intravascular coagulation, with secondary fibrinolysis resulting from metastatic adenocarcinoma of the prostate gland. The difficulty and delay in diagnosis, selection of proper therapeutic regimen, and complications encountered during treatment are discussed.

Aged↗

Primary reticulum-cell sarcoma of the mandible. Review of the literature and report of a case.

A 52-year-old man developed intermittent swelling, pain, and paresthesia during a one-year period prior to the histologic diagnosis of reticulum-cell sarcoma. The clinical profile and radiographic examination suggested either chronic osteomyelitis or malignancy. Treatment was confirmed to radiation therapy with resolution of the malignancy but a guarded prognosis. Twenty-two previously reported cases of primary reticulum-cell sarcoma of the mandible are reviewed.

Biopsy↗

Radiologic features of benign pleomorphic adenoma of the hard palate.

The clinical and radiographic features of two cases of pleomorphic adenoma are discussed. With the use of hypocycloidal tomography, definitive radiographic signs of benignity are demonstrated. They include (1) a radiolucent defect with well-defined cortical margins; (2) beveled margins which describe an intraoral origin of the neoplasm; (3) confinement of the neoplasm within the actual osseous defect, or within the projected circumferential diameter of the defect, if complete erosion has occurred; and (4) lack of periosteal reaction or osseous involvement of the hard palate adjacent to the radiolucent defect.

Adenoma, Pleomorphic↗

Lip reconstruction following resection for an unusual basal-cell carcinoma.

Basal-cell carcinoma most commonly occurs in men in the fifth to seventh decades of life. The area of the lesion is usually one that has frequent exposure to the sun: the middle third of the face and upper lip. An unusual case of basal-cell carcinoma occurring on the lower lip and involving the commissure in a 21-year-old woman is presented. The surgical procedures for resection of the tumor and reconstruction of the commissure are described.

Adult↗

Models of muscle Z-band fine structure based on a looping filament configuration.

The fine architecture of skeletal muscle Z bands is considered in view of stereo electron microscopical evidence and current biochemical and immunological concepts, and a new Z-band model is proposed. This model is based on a looping, interlinking configuration, within the Z band, of strands which emanate from I-band (actin) filaments of adjacent sarcomeres. Two versions of the model seem presently feasible: one in which the Z-band lattice is composed of actin loops; and another in which the same pattern is derived from tropomyosin. Either version satisfies actual electron micrograph images as well as or better than prior Z-band models. Moreover, the principle of looping linkage in filament-to-filament attachment can be related to similar filament patterns seen in several adhesion sites where intracellular filaments insert on cell membranes.

Animals↗

Fine structure of desmosomes. , hemidesmosomes, and an adepidermal globular layer in developing newt epidermis.

The skin of late embryonic, larval, and young postmetamorphic newts, Taricha torosa, has been examined with particular reference to areas of cellular attachment. Stereo electron microscopic techniques and special staining methods for extracellular materials were utilized in addition to conventional avenues of ultrastructural study to investigate the fine architecture of desmosomes, hemidesmosomes, their associated filament systems, and extracellular materials. No evidence has been found that continuity of tonofilaments between adjacent cells exists at desmosomes. Rather, most of the tonofilaments which approach desmosomes (and perhaps also hemidesmosomes) course toward the "attachment plaque" and then loop, either outside the plaque or within it, and return into the main filament tracts of the cell. These facts suggest that the filamentous framework provides intracellular tensile support while adhesion is a product of extracellular materials which accumulate at attachment sites. Evidence is presented that the extracellular material is arranged as pillars or partitions which are continuous with or layered upon the outer unit cell membrane leaflets and adjoined in a discontinuous dense midline of the desmosome. A similar analysis has been made of extracellular materials associated with hemidesmosomes along the basal surface of epidermal cells. An adepidermal globular zone, separating the basal cell boundary from the underlying basal lamina and collagenous lamellae during larval stages, has been interpreted from enzyme and solvent extraction study as a lipid-mucopolysaccharide complex, the function of which remains obscure. These observations are discussed in relation to prevailing theories of cellular adhesion and epidermal differentiation. They appear consistent with the concept that a wide range of adhesive specializations exists in nature, and that the more highly organized of these, such as large desmosomes and hemidesmosomes, serve as strong, highly supported attachment sites, supplemental in function to a more generalized aggregating mechanism.

Animals↗