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Biomedical subjects

P C Wagner

Publications and source records attributed to P C Wagner.

At least 19 recordsLinked to original sources
PubMed1994

Marginal adaptation of the Concept inlay system.

PURPOSE: To evaluate the fit of the Concept inlay system in three clinically relevant cavity preparations (an occlusal, MO and MOD). MATERIALS AND METHODS: The processed inlays were adjusted as needed and seated on master dies. The greatest marginal discrepancy occurring along each margin was recorded and evaluated. RESULTS: The majority of the margins exhibited gaps in the range of 20-45 microns (statistically insignificant) with the exception of the distal margin of the MO which averaged approximately 80 microns and the buccal and lingual margins of the MOD which were approximately 70 microns (both statistically larger than the 20-45 microns range). This heat and pressure cured composite inlay system is capable of producing fairly closely fitting restorations.

Analysis of Variance↗
PubMed1991

Osteochondrosis and juvenile spavin in equids.

Thirty-six of 50 young equids examined at necropsy for gross pathologic and histopathologic evidence of osteochondrosis were determined to have lesions characteristic of this disorder in the distal joints of the tarsus. Abnormalities ranged from retained endochondral cores underlying undisturbed articular cartilage surfaces to clefts, subchondral osseous cyst-like lesions, and cartilage ulceration. Our findings supported the conclusion that osteochondrosis may cause spavin in the juvenile equid.

Animals↗
PubMed1990

Prophylactic insulin in the management of gestational diabetes.

One hundred eight gestational diabetics were randomized to receive either diet alone or diet plus insulin (20 units NPH and 10 units regular) for glycemic control. Blood glucose levels were evaluated weekly in a high-risk clinic where medical and nutritional support and counseling were provided. Among 68 women successfully treated for a minimum of 6 weeks, the mean birth weight, macrosomia rate, and ponderal index were reduced significantly in the insulin-treated group. Insulin reduced birth weights significantly in women with a delivery weight of 200 lb or more (4060 +/- 342 versus 3397 +/- 640 g) and in those with a delivery weight less than 200 lb (3324 +/- 448 versus 3047 +/- 394 g). No patient with good glucose control and a maternal delivery weight under 200 lb had a newborn over 4000 g. Patients failing glycemic control were at greatest risk (30%) for fetal overgrowth whether initially receiving insulin or not. Maternal obesity or failure to achieve glycemic control should alert the clinician to a substantially increased risk of macrosomia.

Adult↗
PubMed1989

Dorsal subluxation of the proximal interphalangeal joint in the pelvic limb of three horses.

In horses, dorsal subluxation of the proximal interphalangeal joint in the pelvic limb, which realigned when weight was applied to the limb, improved following surgery. Improvement was observed, if not immediately, at least within two weeks after treatment. The severity and duration of the condition appear to be important considerations in predicting the time necessary for resolution of the condition following surgery. Treatment consisted of surgical resection of a small segment of the medial head of the deep digital flexor tendon in the pelvic limb. The section removed was positioned distal to the tarsus, at the level prior to the tendon joining the main portion of the deep digital flexor tendon. Previously, a surgical treatment was described in which a portion of the accessory ligament (distal check ligament) of the deep digital flexor muscle was resected. Because the medial head is much stronger than the accessory ligament, resection of the tendon of the medial head provides more release of tension to allow stretching of the deep digital flexor muscle tendon.

Animals↗
PubMed1988

Fetal Board: a multidisciplinary approach to management of the abnormal fetus.

A Fetal Board was established in our institution, patterned after the traditional Tumor Board, to provide prospective clinical management and comprehensive care of the pregnant woman and her abnormal fetus before, during, and after delivery. One hundred one cases qualified for registry by the Fetal Board. The diagnoses included an abnormality discovered on ultrasound evaluation from the referral source, a documented abnormal chromosomal pattern, a fetus at predictable risk for a genetic disorder, or a fetus with a known teratogenic exposure. The multidisciplinary group reviewed each case, refined the diagnoses, established management plans, and scheduled delivery timing when appropriate. The Fetal Board encouraged the collection, sharing, and comparing of information gained on abnormal fetuses before and after delivery. It also became a resource for assistance to the affected families.

Abnormalities, Multiple↗
PubMed1987

Nasomaxillary fibrosarcomas in three young horses.

Nasomaxillary fibrosarcoma was diagnosed in 3 young horses. Clinical signs included epiphora, facial swelling, dyspnea, unilateral serosanguineous nasal discharge, or an external mass. Physical examination, radiography, and cytology were important diagnostic adjuncts. The definitive diagnosis in each case was based on biopsy. In one case, surgical removal of the tumor and extensive curettage of the affected sinus resulted in extended remission from neoplastic disease.

Animals↗
PubMed1987

Cervical vertebral malformations.

Cervical vertebral malformations are recognized clinically when they result in spinal cord compression causing neurologic deficits. Confirmation of diagnosis is based on radiographic and myelographic evidence of cord compression. Medical therapy is not usually successful. Several successful surgical treatments are described.

Animals↗
PubMed1985

Long-term results of desmotomy of the accessory ligament of the deep digital flexor tendon (distal check ligament) in horses.

After desmotomy of the accessory ligament of the deep digital flexor tendon (distal check ligament) had been performed in 40 horses with flexural deformity of the distal interphalangeal joint (contracture of the deep digital flexor tendon), the horses' records were evaluated retrospectively. Information concerning soundness, return to intended purpose, and cosmetic appearance of the limb and hoof was obtained. The condition had been diagnosed and treated in 26 horses before they were one year old (group A, acute) and in 14 horses greater than one year of age (group B, chronic). Nine months to 4 years after surgery, 35 horses (24 from group A, and 11 from group B) were not lame and were being used as athletes. Thirty-three horses were being used for what the owner had intended before the development of the flexural deformity, and 7 were not. Of these 7 horses, 6 had complications related to the deformity, whereas one had complications resulting from surgery.

Animals↗
PubMed1985

Management of acquired flexural deformity of the metacarpophalangeal joint in Equidae.

Fifteen horses with flexural deformity of the metacarpophalangeal joint were evaluated and their conditions were designated as mild, moderate, or severe. Evaluations were made on the basis of clinical signs and lesions seen on radiography. Horses with mild deformities were treated with corrective trimming and shoeing; those with moderate deformities were treated with desmotomy of the accessory ligament of the deep digital flexor tendon and corrective shoeing. Desmotomies of the accessory ligaments of both deep and superficial digital flexor tendons were performed on horses severely affected, followed by corrective shoeing. In this long-term study, 4 horses with mild lesions and 4 horses with moderate lesions returned to useful work. None of the horses with severe disease responded enough to withstand strenuous athletic training.

Age Factors↗
PubMed1984

Cancellous bone screws for repair of proximal growth plate fractures of the tibia in foals.

Proximal growth plate fractures of the tibia in 4 foals were treated surgically. A medial approach was utilized in 3 cases and a lateral approach in the fourth. Bone screw fixation was achieved with cancellous screws and washers. In 3 cases, the screw shaft crossed the proximal tibial growth plate with no adverse effects. In all animals, there was rapid and cosmetic healing. At 8 to 18 months after surgery, all horses were sound at a walk, trot, and canter.

Animals↗
PubMedDate not supplied

Chemical involution of the equine parotid salivary gland.

The efficacy of eliminating parotid salivary secretions by retrograde infusion of 10% formalin, 2% chlorhexidine, or 2% or 3% silver nitrate solutions was evaluated in 10 horses. Solutions were kept within the parotid salivary gland for 90 seconds after infusion through parotid duct cannulae and then allowed to drain freely. Severed parotid ducts and surgical incisions were left to heal by second intention. All agents eliminated glandular secretions. There was less necrosis and suppurative inflammation after formalin infusion than after chlorhexidine and silver nitrate. Silver nitrate (2% and 3%) caused the most necrosis and inflammation.

Animals↗