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Biomedical subjects

E C Crawford

Publications and source records attributed to E C Crawford.

10 recordsLinked to original sources

The face--an orthodontic perspective.

Orthodontic treatment has the capacity of effecting many changes to patients. For better or worse, our society places a high value on physical beauty, and straight teeth make a positive contribution to facial attractiveness. We must think of our patients more as human faces rather than a set of malaligned teeth. Along with our capability of improving facial features we have an equal responsibility to avoid a deterioration. Providing basic guidelines are followed in patient assessment, treatment planning and treatment execution, orthodontic services can provide an enhancement to the faces and lives of our patients.

Cephalometry

A review of the management of anterior open bite malocclusion.

Anterior openbite (AOB) malocclusion is considered one of the most demanding challenges for the orthodontist, as occlusal correction is difficult, facial aesthetics may be unsatisfactory and the incidence of relapse is high. A retrospective cephalometric study of 19 consecutively treated AOB patients is presented. The follow-up ranged from 12 to 48 months. Several case reports are included to demonstrate a contemporary approach combining orthodontic treatment and orthognathic surgery. The results indicate that overbite was maintained with good vertical skeletal stability. Anteroposterior position was less stable. Posterior facial height was maintained or decreased, and there was no evidence of postsurgical maxillary incisor movement. It is concluded that occlusal stability and clinical success may be anticipated when certain criteria are adhered to in all phases of treatment, and that a coordinated surgical-orthodontic treatment approach currently offers the best chance of attaining occlusal stability, improved function and satisfactory aesthetics.

Adolescent

Elevation of the panting threshold of the desert iguana, Dipsosaurus dorsalis, during dehydration: potential roles of changes in plasma osmolality and body fluid volume.

Dehydration of the desert iguana, Dipsosaurus dorsalis, resulted in a progressive elevation in the magnitude of the skin temperature necessary to elicit thermal panting (i.e., the panting threshold). Panting threshold increased from 43.4 +/- 0.8 degrees C at 100% initial body weight (IBW) to 45.4 +/- 1.2 degrees C at 90% IBW to 45.7 +/- 0.9 degrees C at 80% IBW. Plasma osmolality showed no significant change with dehydration to 80% IBW. Changes in plasma osmolality, whether induced by NaCl or non-ionic sucrose loading, had a significant impact on panting threshold. Increasing plasma osmolality resulted in an elevation of panting threshold while decreasing plasma osmolality resulted in lower panting thresholds. Decreasing body fluid volume by exsanguination of 1 ml whole blood/100 g body weight resulted in a mean increase in panting threshold by 0.7 +/- 0.2 degrees C. Volume loading with 160 mM NaCl (approximately isosmotic) had no significant effect on panting threshold. These data suggest that plasma osmolality and decreases in body fluid volume may be potent modulators of panting threshold during periods of water deprivation. However, at least in desert iguanas, increases in plasma osmolality would not appear to be an important factor in the elevation of panting threshold during dehydration to 80% IBW.

Animals

Control of panting in the desert iguana: roles for peripheral temperatures and the effect of dehydration.

Although it is generally held that panting is a physiological mechanism for the regulation of brain temperature during heat stress, a number of studies have pointed to the importance of peripheral input for the initiation of the panting response in a variety of animals. By presenting ambient heat loads of 47 degrees, 54 degrees, 58 degrees, and 65 degrees C, and measuring skin, ear and core temperatures of the desert iguana, Dipsosaurus dorsalis, at the onset of panting, we found that the skin temperature at panting onset was independent of ambient heat load. This suggests that skin (peripheral) temperature is the body temperature on which the central thermoregulatory center cues to initiate thermal panting. Peripheral temperature control of panting was retained when the plasma osmolality of the desert iguana was increased by 100 mOsm/kg H2O to simulate dehydration. Dehydration to 80% initial body weight (IBW) resulted in a progressive increase in panting threshold (skin) from 42 degrees C for untreated lizards to 42.5 degrees C at 90% IBW to 43.3 degrees C at 80% IBW. Injection of 80% IBW lizards with a volume of 10 mM NaCl equivalent to weight loss resulted in a decrease in panting threshold to 40.8 degrees C. Injection with 1% body weight 3000 mM NaCl produced a dramatic increase in panting threshold to 45.9 degrees C. These data suggest that the desert iguana responds to dehydration by elevating panting threshold, thus promoting water conservation. These data also suggest that changes in plasma osmolality may be involved in the "setting" of panting threshold.

Animals

Kinetics of inert gas equilibration in an exclusively skin-breathing salamander, Desmognathus fuscus.

Characteristics of cutaneous gas exchange in amphibians were studied by analysis of the equilibration kinetics of an inert test gas in salamanders which have neither lungs nor gills. Specimens of the common dusky salamander (Desmognathus fuscus, Plethodontidae, Urodela), average body mass 6.1 g were equilibrated with 20% chlorodifluoromethane (Freon 22) in oxygen. The time course of subsequent elimination of Freon 22 into atmospheric air was more rapid in living than in dead animals. This difference was attributed to convective transport by blood flow. Several alternative models were proposed, providing a basis for quantitative analysis of the data. All models yielded similar values for convective conductance due to blood flow. In order to calculate blood flow therefrom, a simplified circulation model based on anatomical evidence was used: the cardiac output is in part directed to the skin, subserving gas exchange with the environment, and in part to the internal organs; the blood returning from both skin and internal organs is mixed before reaching the heart. Depending on assumptions regarding the model and the partitioning of blood flow to the skin and to internal organs, the following range of values was calculated from the experimental data: cardiac output, 85-195 mul/(min-g body mass); cutaneous blood flow, 27-63 mul/(min-g body mass). Due to inherent assumptions these values must be considered minimum estimates.

Animals