PubMed Health⌕ Search

Biomedical subjects

V Rusu

Publications and source records attributed to V Rusu.

At least 19 recordsLinked to original sources

Dystonic posturing in seizures of mesial temporal origin: electroclinical and metabolic patterns.

OBJECTIVE: To test the hypothesis that extratemporal neuronal networks are involved in dystonic posturing (DP) observed in mesial temporal epilepsy (MTLE). METHODS: The authors analyzed electroclinical findings in 36 patients with MTLE with or without DP. Three DP types were defined (types I, II, III) corresponding to a gradual increase in duration and complexity. Interictal [18F]fluorodeoxyglucose-PET in different groups and subgroups was compared with control subjects using statistical parametric mapping software (SPM99). RESULTS: DP was found in 20 patients (55%), contralateral to the epileptogenic focus in 95%. Patients with DP had longer seizure duration, higher frequency of head deviation, salivation, motor manifestations, secondary generalization, severe clouding of consciousness, and prolonged postictal confusion when compared with patients without DP. Ictal discharge patterns during DP consisted of fast rhythmic activity spreading to frontal or suprasylvian areas, whereas slow rhythmic activity restricted to the temporal areas occurred in the absence of DP. In patients with DP, widespread temporal and extratemporal hypometabolism including the putamen was found. Hypometabolism was restricted to the anteromesial part of the temporal lobe and anterior insula in patients without DP. Putaminal hypometabolism was found in all DP types, but different extratemporal cortical involvements were found in DP subgroups: insula and inferior frontal gyrus in type I, inferior and superior frontal gyri and anterior cingulate gyrus in type II, and parietal areas in type III. CONCLUSION: Dystonic posturing may result from involvement of both putaminal and extratemporal cortical areas. Moreover, different frontal or parietal networks may be involved according to the duration or complexity of dystonic posturing.

Adolescent↗

[Changes in contrast sensitivity in glaucoma patients].

OBJECTIVE: To evaluate changes of temporal contrast sensitivity (TCS) in patients with glaucoma. MATERIAL AND METHOD: We measured TCS (for 10, 20 and 30 Hz frequencies) in 57 eyes with glaucoma using a prototype that produces a red colour flicker stimulus (lambda = 626 nm) projected in the central 320 of the visual field. In all patients measurements were undertaken for the visual acuity and intraocular pressure. Also the optic disc was evaluated (including C/D ratio), as well as the visual field using the 24/2 program of the Humphrey automated perimeter. RESULTS: For all tested frequencies we computed sensitivity and specificity of the test S < 0 as diagnostic tool for glaucoma. The sets of determination with 30 Hz flicker stimulus have a validity score of 83.8%. We also evaluated the correlation curves between the S score, C/D ratio and mean deviation from automated perimetry. CONCLUSIONS: Patients with glaucoma present a significant drop of the S score for all three tested frequencies. The S score positively correlates with mean deviation (MD) and negatively with C/D ratio reflecting thus diffuse alterations of the magnocellular system. The decrease of the S score in the 30 Hz set of data is major and S < 0 as a diagnostic test has very good sensitivity and specificity. S score might be used in screening for glaucoma as well as monitoring progression of the disease (rapid test, low cost, good validity).

Analysis of Variance↗

[Recurrent unilateral inflammatory exophthalmos].

The issue discusses the diagnosis difficulties concerning the case of 58-years-old woman who was watched for a recurrent exophthalmos after a mild conjunctival trauma. The debut was orbital cellulite appearance, complicated by a nonaxial exophthalmos due to a dacryoadenitis. The exophthalmos is axial in the other two recurrences. All exophthalmic episodes progressed with inflammatory features associated with optic neuritis and oculomotor nerves implication without any neurological signs. The paraclinical tests (ECHO, orbital radiography, CAT) find inflammation of orbital elements: extrinsic muscles and lacrimal gland. Biochemical tests showed minimal inflammatory changes without be able to provide the positive diagnosis. Initial combined therapy (antibiotics and steroids), then steroid monotherapy had favorable response.

Cellulitis↗

D-myo-inositol derivatives alter liposomal membrane fluidity.

We investigated the effect on membrane fluidity induced by D-myo-inositol derivatives (IP3, IP4, IP5, IP6). Fluidity was determined as the anisotropy of fluorescence polarisation from liposome model membranes labelled with DPH (1,6-diphenyl-1,3,5 hexatriene). IP3 (10(-10) to 10(-5) M) increased the membrane fluidity with a maximum effect at 10(-5) M. For IP4, IP5 and IP6, at concentrations less than 10(-6) M these derivatives increased the membrane viscosity (i.e. reduced fluidity). This effect was enhanced when the derivatives were incorporated in the vesicles, rather than added to the vesicle suspension. In this case IP5 and IP6 increased viscosity over the reference values. We conclude that inositol derivatives directly modified membrane fluidity which could play a role in their effects in biological systems, beside the one mediated by binding to specific receptors.

Animals↗

[Experimental study using 86Rb on the permeability of biomaterials used for occlusal pit and fissure sealants].

In experimental in vivo work, we used 45Ca and 131I radioisotopes to establish the impervious nature of biomaterials used for filling. A comparative study of permeability in 3 biomaterials used as pit and fissure sealant, alkylcyanoacrylate, Delton and Sigilar was conducted with 86Rb radiosotope. The materials were applied to the surface of 60 natural intact teeth divided into 3 sets and 6 groups. Each of the 3 types of materials were applied no one set of teeth. Within each set, a group of 10 teeth were labeled with 86Rb for 30 minutes and the other group was marked with 86Rb for 60 minutes. After washing, gamma emission was measured immediately after labeling then again 24 hours later. Results indicate that the biomaterial Delton is the least permeable to 86Rb, gamma counts being approximately 20-times lower with Delton than with alkylcyanoacrylate and Sigilar.

Biocompatible Materials↗

[Intra- and postoperative use of 5-fluorouracil in the surgical treatment of refractory glaucoma].

OBJECTIVE: Analysis of the safety and efficiency of various modalities of 5-FU administration in the surgery of refractory glaucoma. MATERIALS AND METHOD: A prospective, randomized study including 36 patients with refractory glaucoma who received 5-FU in the following protocols: group A (10 patients)--intraoperative application of 50 mg 5-FU, group B (12 patients)--postoperative subconjunctival injections of 5 mg 5-FU, group C (14 patients)--intra and postoperative administration of 5-FU. Mean follow-up interval is 6 months. RESULTS: Last controlled intraocular pressure is lower in C group patients (13.92 mmHg) versus group A and group B patients (< or = 15.7 mmHg). The real therapeutic success rate (intraocular pressure < or = 15 mmHg) and the qualified success rate (intraocular pressure < or = 21 mmHg) are higher in group C (85.7% and 92.8% respectively) as compared with group A and group B (50% and 82% respectively). The rate of side-effects in highest in group B and lowest in group C. CONCLUSIONS: Association of intra and postoperative use of 5-FU in refractory glaucoma increases the rate of therapeutic success and a lower incidence of side-effects.

Antimetabolites↗

[The Rieger syndrome. A clinical study. A study of 4 generations in one family with the Rieger syndrome].

Rieger syndrome is a rare disease with autosomal dominant inheritance (4q25-4q27) characterised by the presence of ocular and extraocular abnormalities. We present a family with Rieger syndrome on four generations, pointing the ocular and extraocular abnormalities. The most frequent complication is secondary glaucoma (50-60% of all cases) and the efficient treatment consists in utilising the betablockers and/or filtering operations with the possibility of antimetabolites help.

Abnormalities, Multiple↗

[The recovery of visual performance in strabismus with eccentric fixation].

The purpose of this work is to realise a general view about the diagnosis, therapeutic methods and the results obtained in eccentric fixation strabismus. We realised a six years retrospective study on 144 eccentric strabismus, watching dynamic the evolution by testing: the orthophoric status, visual acuity, binocular vision and the type of fixation. Medium follow un time was of 19.6 months. In the end of the treatment we notice: visual acuity between 0.1-0.5 in 14% cases; central fixation in 52 children (36%); first degree of binocular vision in 15 children (10.4%) and second degree in 5 cases (3.47%). This study showed that the early installation of eccentric fixation strabismus was in 53% cases before reaching one year old and in 90% before two years old. The functional results was negative influenced by the delay in presentation (42% come after 2 years) and the difficulties in family cooperation (46.5% were followed up lesenban 6 months).

Adolescent↗

Salmonella typhi strain with transmissible multiple resistance.

A case of typhoid fever caused by multiple drug resistant S typhi by R factor was clinically and bacteriologically studied. The clinical course was weakly influenced by successive chloramphenicol (21 days) and ampicillin (7 days) therapy; recovery occured after 62 days of disease including 2 relapses) as a result of the combined effect of immunization by disease and septrin administration (9 days). Two strains of S. typhi were isolated, one of them from blood culture before treatment, being Vi A degraded, sensitive to antibiotics A, C, T (strain 221) and the other from stool culture, after 4 days chloramphenicol treatment, being untypable with adapted Vi II phages, resistant to A, S, C, T (strain 552). Resistance markers were transferred within 4 conjugation systems, from strain 552 - as donor - to E. coli K12, to S. typhi A and to S. typhi 221 - as recipient-, the resistance level found was equal to that of the donor for all the determinants. The fi- character of the resistance factor was established and its possible restrictive effect in explaining the presence of two lytic patterns was discussed. The importance of the occurence of multiple drug-resistant S. typhi in certain areas, as well as chemical and epidemiological consequences, is emphasized.

Ampicillin↗

Restriction and modification of typing phages by an R factor in S. typhi.

We have investigated the qualities of one R factor 552 discovered on a strain of S. typhi resistant to A, C, S, T, nontypable, isolated from stool cultures; from the same patient, before starting the treatment we isolated, from his blood sample, the strain S. typhi 221, sensitive to A, C, T, degraded phage-type Vi A. Factor R 552 fi- when infecting strains of S. typhi Vi A and of A degraded 221- leads to the conversion of the respective phage-types into non-typable ones, as a result of the restricting and modifying effect on phage Vi A and on the derivatives resulting from it. Derivative R 552-1 as a resistance marker to ampicilline has a restrictive effect on the phage of S. panama A 47 too. Not taking into account possible causes such as spontaneous mutation, lysogeny, and adsorption of phages, we reach for the conclusion that R factor 552, through is restrictive effect, is the only cause responsible for the existence in the same patient of two strains of S. typhi different from the point of view of phage-type and antibiotype.

Bacteriophage Typing↗