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E Fuller

Publications and source records attributed to E Fuller.

11 recordsLinked to original sources
PubMed2001

Detrusor biopsy as a potential clinical tool.

Previous published work suggests that electron microscopic findings in bladder biopsies correlate with urodynamic diagnoses of bladder dysfunction in geriatric patients. Our goal was to determine the reproducibility of this previous work and to evaluate the use of detrusor biopsy as a clinical tool in the diagnosis and management in a urogynecology referral population. All patients underwent an initial evaluation, including history, physical examination and urodynamics. Urodynamic evaluation included uroflowmetry, provocative cystometry, instrumented voiding study, urethral profilometry, pressure-flow studies, and evaluation of postvoid residual urine. A cystoscopic-guided detrusor muscle biopsy was obtained from all patients. Each patient was assigned one of four urodynamic diagnoses: detrusor overactivity, obstructed voiding, both overactivity and obstruction, or neither. Each was given a subgroup of normal or ineffective contractility. All detrusor biopsies were evaluated by electron microscopy. Each biopsy was assigned one of four pathologic diagnoses: dysjunction, hypertrophy, both dysjunction and hypertrophy, or neither. Each was given a subgroup of the presence or absence of degeneration. All diagnoses were assigned in a double-blind fashion. All urodynamic and pathologic diagnoses were then compared to determine the percentage agreement. Twenty-six women participated, mean age 52.7 years, range 29-77. Overall agreement among diagnoses was 30% (95% CI 11%-50%). Comparison of each category revealed the following percentage agreements: detrusor overactivity/dysjunction, 52% (95% CI 32%-73%); obstructed voiding/hypertrophy, 78% (95% CI 61%-95%); ineffective contractility/degeneration, 65% (95% CI 45%-85%). The use of detrusor biopsy as a clinical tool was not supported in this population, as demonstrated by the low percentage agreement between urodynamic and pathologic diagnoses. The etiology of bladder dysfunction should be investigated by looking beyond organ-specific structural changes.

Adult↗
PubMed1998

Measurement of the expansion of the calcaneal fat pad upon weightbearing.

The width of the calcaneal fat pad during weightbearing differs from its width during nonweightbearing. In this study, the medial-to-lateral width of the calcaneal fat pad was measured during weightbearing as well as nonweightbearing, and the two measurements were compared. The difference between weightbearing width and nonweightbearing width was found to vary widely across individuals. This measurement has implications for the manufacture of functional foot orthoses, which are made from nonweightbearing impressions of the foot. The significance of the authors' findings with regard to patient comfort is discussed.

Adipose Tissue↗
PubMed1992

Cellulose as a gastrointestinal US contrast agent.

Ultrasound (US) imaging of the abdomen often is compromised by artifacts due to adjacent bowel gas. In an attempt to decrease gas artifacts and improve US image quality, the authors evaluated the use of cellulose preparations as gastrointestinal US contrast agents. Optimal homogeneity and reflectivity were evaluated in phantom solutions, and two suitable agents were selected for clinical trial. Ten volunteers underwent abdominal US imaging before and after contrast agent administration on three separate occasions. The volunteers drank 800 mL of freshly degassed water and two different gastrointestinal US contrast agents. US images obtained before and after administration of contrast material were evaluated by five radiologists and scored for bowel marking, visualization of abdominal anatomy, and image degradation by bowel gas. Compared with water, the orally administered US contrast agents improved visualization of bowel and abdominal anatomy, with diminished gas artifact.

Aorta↗
PubMed1987

Irradiations of rabbit myofibrils with an ultraviolet microbeam. II. Phalloidin protects actin in solution but not in myofibrils from depolymerization by ultraviolet light.

We tested whether phalloidin protects actin in myofibrils from depolymerization by ultraviolet light (UV). I bands in glycerinated rabbit psoas myofibrils were irradiated with a UV microbeam in the presence and absence of phalloidin. We used the retention of contractility of the irradiated I band as the assay for protection of actin by phalloidin, since previous experiments indicated that UV blocks contraction of an irradiated I band by depolymerizing the thin filaments. The I bands of myofibrils incubated in phalloidin were as sensitive to UV as control I bands, indicating that phalloidin did not protect the thin filaments. However, phalloidin did protect F-actin in solution from depolymerization by UV. This apparent contradiction between F-actin in myofibrils and F-actin in solution was resolved by observing unirradiated myofibrils that were stained with rhodamine-phalloidin. It was found that phalloidin does not bind uniformly to the thin filaments, though as the fluorescence image is observed over time the staining pattern changes until it does appear to bind uniformly. We conclude that phalloidin does not protect F-actin in myofibrils from depolymerization by UV because it does not bind uniformly to the filaments.

Actins↗
PubMedDate not supplied

Reduction of peak pressure on the forefoot with a rigid rocker-bottom postoperative shoe.

An ideal postoperative shoe should be comfortable to wear and protect the foot during recovery from surgery or injury. Protection is assumed to be related to peak pressure and force-time integral under the foot. This study compared a commonly used postoperative shoe with a new postoperative shoe that incorporates a rigid sole with an 11 degrees rocker bottom. The new postoperative shoe significantly reduced peak pressures on the forefoot by 20%. The amount of pressure and force-time integral reduction is compared with other values found in the literature for various shoe modifications. Indications for rocker-bottom shoes are also explored.

Biomechanical Phenomena↗