[Reaction of bones to silicone rubber implants. Results of histology, microradiography and polychrome sequence labeling].
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A simplified microradiographic technique is described that does not require expensive, specialized equipment. Single emulsion radiographic film was used in conjunction with a noncommercially constructed Grenz ray unit to produce good to excellent general survey microradiographs of tissue specimens. This technique proved satisfactory for visualization of vessels larger than 100 mu in diameter.
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A comparative evaluation of contact micrographs from microtome sections of nondecalcified bony tissue, exposed with bremsstrahlung (6 kv) and with titan-k-alpha radiation (6, 10 kv), filtered and unfiltered, was made on the basis of microphotograms. Only minimal differences in quality could be established which were of questionable significance. Optimal microradiographs therefore can be produced with Ti-k-alpha radiation. For practical purposes, the method is superior to other radiation qualities because of the short exposure time.
Acute renal failure was produced in vasopression-pretreated rabbits by clamping the left renal pedicle for one hour and removing the opposite kidney. Treatment with clonidine, as antihypertensive drug that blunts the kidney's response to vasopressin, resulted in significantly higher creatinine clearance and urine flow rate in the first 6 hours after unclamping. Clonidine (30 microgram/kg given intravenously 30 minutes before unclamping) also significantly lessened the number of hyaline casts in outer medullary tubules and inner medullary loops of Henle 6 hours after unclamping and reduced the number of abnormal tubular contours in microadiograms produced by infusing barium sulfate into the renal artery at sufficient pressure to rupture glomerular capillaries, causing an escape of contrast material into the tubules. The spaces consistently observed between the ends of barium columns and hyaline casts in microdissection studies and the great lengths of the hyaline casts suggest that hyaline casts obstruct the flow of tubular fluid. Clonidine treatment resulted in fewer, shorter, and thinner hyaline casts. These results indicate that tubular obstruction by hyaline casts plays an important role in early postischemic acute renal failure, and that clonidine's beneficial effect is due in part to a reduction in cast formation.
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The press-fit fixation technique has become an alternative fixation method in anterior cruciate ligament (ACL) reconstruction. While the stability of press-fit fixated grafts reported in the literature predominantly had been analysed by biomechanical testing, this study investigated the specific histomorphologic and microradiographic features important for graft stability, using human quadriceps tendon-patellar bone (QTPB) grafts. Six QTPB grafts with cylindrical bone plugs were obtained from frozen fresh human cadaver knees and fixed to porcine, bovine, or human femora in a press-fit technique. The specimens were plastinated, dissected into 1.5 mm slices, studied microradiographically and stained for histologic evaluation. The specimens showed an osseous inclusion of the graft within the femoral tunnel, which was most evident on the cancellous side. Histologic analysis revealed a trabecular interdigitation with a penetration of patellar and femoral trabecular structures, contributing to primary stability of the press-fit fixation. Graft inclusion was most obvious in bovine and least in human femora, assumably because of varying bone quality. The circular bone-to-bone contact in press-fit fixation technique should contribute to both rapid and stable graft healing.
The role of vitamin D on tooth-germ development was studied. The molars of vitamin D-deficient rats were compared with those of vitamin D-replete controls. The deficiency disturbed enamel and dentine mineralization and decreased their matrix secretion. Morphogenesis was affected; teeth were flattened and the whole of the epithelio-mesenchymal junction rippled. Where this irregularity was maximal, the inner dental epithelium and stratum intermedium were intermingled and the adjoining sub-odontoblast cells were mixed with poorly polarized odontoblasts. The cytodifferentiation of both central and sub-odontoblastic cells was inhibited. Thus vitamin D has a role in the early events of tooth development: morphogenesis, histodifferentiation and cytodifferentiation of pulp cells as well as in enamel and dentine mineralization.
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It is well realised that the contact microradiographic method is the most direct method that gives position-dependent information on the mineral content of calcified tissue and its loss. We developed a microcomputer-guided microradiographic system which features fast operation by the experimenter with a low appearance of errors. Tooth tissue slices of 75 micron thickness are cut with a sawing machine. Images (Cu K alpha radiation) of the tooth slice and an aluminium step wedge (exposure 10-15 s) are made on film (Kodak SO-253). The images of step wedge and tooth slice are scanned in a densitometer (1 micron X 30 microns slit), which is fitted with an XY table (0.5 micron steps). A microcomputer (Apple IIe) is programmed to control the XY table and to record the optical film transmission. Scans of the images are plotted on the computer screen. The calibration step optical film transmission values are determined by the operator by adjusting a computer-generated bar onto the individual steps shown on the screen. The dose-density relation of the film is approximated by the program by a fourth-degree polynomial using the step-wedge data. The resulting curve is used to convert the tooth-slice data into a mineral volume percentage. To enable the calculation of total mineral loss (in kg m-2) (loss integrated over depth), the operator adds the assumed diagram for sound enamel onto the display. This is done by adjusting computer-generated bars to the scan of the tooth slice shown on the screen. The resolving power in the image made by the microradiographic system is 3 microns X 30 microns. On the basis of the analysis of random errors and a comparison with chemical analysis of tooth slices we claim that the error in mineral volume percentage amounts to 4% of its value. Starting with a microradiographic image of a tooth slice 5 min are required to obtain a microradiographic curve on paper and to obtain a value for mineral loss.