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Comparative bactericidal and morphological effects of five cephamycins on cells of three gram-negative bacilli at decreasing drug concentrations.

The bactericidal and morphological effects under drug-decreasing conditions of cefminox (MT-141), cefoxitin, cefmetazole, cefotetan and latamoxef were compared on Klebsiella pneumoniae PCl-602, Escherichia coli No. 29 and Serratia marcescens No. 1 cells. A new drug-decreasing method was developed by the use of an antibiotic removal device. Cefminox displayed an earlier onset and a higher rate of bactericidal action than the other cephamycins against the test organisms, although the minimum inhibitory concentrations of cefminox were similar to or higher than those of the other drugs. Morphologically, cefminox caused rapid lysis of the cells without filamentation, whereas the reference cephamycins caused mainly elongation of the cells under the test conditions. Frequent formation of multiple bulges on cells exposed to cefminox was observed in an isotonic medium.

Cephamycins↗

Publicity and the public health: the elimination of IUD-related abortion deaths.

Widespread publicity in the mass media about the dangers of leaving an IUD in place in a pregnant uterus was apparently more effective than traditional scientific publication and drug package inserts in getting doctors to remove devices from pregnant patients. This suggests that such publicity could be effective in improving clinical practice and the public health in other instances, such as getting doctors to prescribe and women to request birth control pills with lower doses of estrogen, and persuading women to obtain early rather than the riskier midtrimester abortions.

Abortion, Septic↗

[Otomycosis: etiology and analysis of predisposing factors].

An otomycosis was found in 80 cases of external otitis on a total of 132. Itching was the characteristic beginning, rapidly followed by pain, conductive hearing loss, tympanic perforation. Aspergillus was isolated in 81.7% of cases: in particular, A. niger in 67.1% of cases. A. flavus in 13.4% A. fumigatus in 1.2%. Candida albicans was isolated in 11% of cases. A statistical analysis based on chi 2 test was performed to evaluate the role of possible predisposing factors. Highly significant factors resulted to be working in gardens (P less than 0.005) or using mechanical removing devices. Not significant resulted to be swimming, water irrigations or antibiotic therapies: however infirmities were often not reliable. The above mentioned highly significant factors seem to be able to determinate the overlaying of otomycosis.

Adult↗

Techniques for cryosectioning and x-ray microanalysis in the study of normal and injured myocardium.

An improved system has been developed for analytical electron microscopic studies of diffusible electrolytes in normal and diseased myocardium. The rabbit interventricular septum preparation was used for an in vitro perfusion model system. Thin (0.5mm diameter) right ventricular papillary muscles were left attached to the septa during perfusions. The muscles were subsequently positioned in a special clamp device, removed from the septa, and quick frozen in liquid nitrogen-cooled propane. The muscles were used for cryoultramicrotomy and freeze substitution. Modifications of the ultratome cryochamber and methods of improved cryosectioning also were made. The methods reported here resulted in reproducible cryosections with good ultrastructure and relatively mild ice crystal damage. Good preservation of intracellular electrolytes also was demonstrated by analytical electron microscopy.

Animals↗

Levels of selected elements (Fe, As, Cd, Pb, Zn, Mn) in biological samples from ferrochromium workers.

A long-term exposure to metals poses the question of whether the impaired health condition is caused exclusively by the quantitatively dominant exposure metal. In 67 workers exposed to ferrochromium alloys on average 12.5 +/- 1.09 years (mean +/- SE), the subgroups of ferrochromium workers and operators of dust removing equipment, average Cr values in urine were 0.233 +/- 0.032 mumol.l-1 (mean +/- SE). In the control group (K) the average Cr values were 0.034 +/- 0.004 mumol.l-1 of urine (mean +/- SE). The levels of plasmatic Fe were assessed photometrically; the levels of Fe, As, Cd, Pb, Mn and Zn in hair, urine and blood were assessed by atom-absorption spectrophotometry (Varian). The results were compared with the control group not significantly different in age (t-test). All the values were correlated with age, years of exposure and the number of cigarettes smoked during life. The values of the single selected metals in furnace workers and operators of dust removing devices were not higher than the limits set for the groups of workers exposed to metals. But compared to the original biological background, there was observed a significant Cd increase (hair, blood, urine) year by year. Average values of As, Pb, Fe, and Mn in hair of the exposed workers were also higher compared to the group K. As and Mn values in hair were increasing up with the years of exposure (r = 0.465, p < 0.05; r = 0.580, p < 0.001). No expected higher values of plasmatic Fe were found. Zn values in hair were falling down with the years of exposure as well as with age, in all groups including the group K. The authors discuss the possible causes of the quantitative changes in the selected metals in connection with professional exposure and non-professional effects (especially smoking). Higher cancer incidence of the organs affected has not been observed so far in the study plant. (Tab. 2, Fig. 8, Ref. 41.)

Adult↗

The artificial urinary sphincter. A new solution for incontinent patients.

Treatment of urinary incontinence with the artificial urinary sphincter has been available in centres such as London and Liverpool for a number of years. This service is now available in the department of urology of the Belfast City Hospital. Twelve patients have had successful implantation of an artificial urinary sphincter for urinary incontinence, and ten are now fully continent. One patient with Wegener's granulomatosis developed active disease in his urethra which has precluded activation of the device. One patient has had the device removed because of erosion into the urethra.

Adult↗

[A new instrument for extirpation of PTFE vascular prostheses. Initial clinical experiences].

In seven patients in whom a PTFE prosthesis had to be removed (six arteriovenous dialysis shunts in the arm and one femoro-popliteal by-pass), surgery was performed with the aid of a newly developed prosthesis removal device. This device consists of a guide rod that is inserted in the prosthesis while a second, chisel-like extension with a sharp cutting edge is advanced along the exterior of the prosthesis to separate it from the tissue. With this technique, up to 17-cm-long segments were extirpated subcutaneously. The only complication was a lesion of an radial artery in an atypically situated AV shunt. The advantages of the new instrument are that it saves time and conserves tissue and skin.

Adult↗

Residual bone cysts after correction of severe foot deformities with the Ilizarov technique.

Fourteen patients with severe foot deformity treated by application of the Ilizarov device were evaluated for residual bone changes in the foot. Cyst formation was noted in all patients, most commonly in the base of the fifth metatarsal. These cysts did not develop in the area of bone penetrated by the wires. In an average follow-up of 3.4 years after device removal, the cysts did not resolve. Histologic examination of one resected cyst demonstrated an empty lacuna with no cell lining, as seen in the "cysts" associated with osteoarthrosis.

Bone Cysts↗

Excess dietary urea intake in ewes and its effect on ovulation rate and embryo development.

The effect of excess dietary urea on ovulation and early embryo development of sheep was studied. Thirty Border Leicester x Scottish Black face ewes randomly assigned to three treatments were given a basal control diet (C) which met energy requirements for body weight maintenance. Other treatments were basal diet plus 24 g of urea/day (low urea, L) or plus 48 g (high urea, H)/day. The reproductive cycles of the ewes were synchronized using a single injection of prostaglandin (PGF2 alpha) and progesterone by an intravaginal controlled internal drug release (CIDR) device for 12 days. Ovulation was induced by the use of pregnant mare serum gonadotrophin (PMSG). Ewes were inseminated approximately 52 hours after CIDR device removal using a laparoscopic technique. Embryos were recovered at Day 4 or Day 11 after insemination from half of the ewes from each treatment group. There were no significant differences in ovulation rates among the three groups. The embryo recovery rates were not affected by day of recovery. At embryo recovery on Day 4, 7/13 in C, 3/6 in L and 0/7 in H embryos were morulae. After 72 hours of in vitro culture 6/10 in C, 2/3 in L and 0/4 in H embryos developed to the blastocyst stage. Pregnancies sustained were C 6/8, L 5/7 and H 1/3 of the autotransfers. Throughout the experiment plasma urea levels were significantly affected by diet (p < 0.01). Plasma ammonia levels in the H group were significantly higher than those in the C and L groups (p < 0.05) for 4 hours after each feed. There was no treatment effect on plasma progesterone concentration. The luteinizing hormone (LH) surge onset time and amplitude were not correlated to ovulation rate and were not affected by treatment. It is concluded that high circulating concentrations of plasma urea and ammonia have an adverse effect on early embryo development. This effect was independent of any alterations in progesterone and LH concentrations.

Ammonia↗

[Mitral valve replacement under beating heart in 137 cases].

To avoid damage of myocardial ischemia, myocardial hypoxia and reperfusion injury, we designed mitral valve replacement in beating heart under extracorporeal circulation with low dose temperature of 31 degrees C to 35 degrees C in 137 cases of rheumatic heart disease, congenital heart disease mitral stenosis and mitral insufficiency, or concurrent aortic insufficiency. The patients were rept in unblocking aorta, unfilling cardiac arrest perfusion, idle pulse and dradycardia of 40-50 times/min, nose temperature of 32 +/- 1 degrees C. Patients with concurrent aortic insufficiency should first undergo replacement of aorta under cold cardiac arrest and then replacement mitral valve under beating heart to reduce the time of cold heart ischemia. Plastic surgery for tricuspid valve was done under beating heart. Good postoperative prognosis was nated: an average arterial pressure of 9.5-10.5 kPa (70 to 80 mmHg), dose of dopamine was obviously reduced. No low cardiac output syndrome, acute renal failure and severe arrythmia were observed in 137 cases, except 4 deaths due to infection and blood coagulation (2.9%). A left cardiac chamber no-level air removal device and aorta perfusioner leading flow device were designed for exsufflation of left pneumatocardia.

Adolescent↗

Venous access in pediatric patients.

Long-term central venous access is an integral part of managing children with cancer, certain congenital malformations, and gastrointestinal malfunction, as well as for those who need long-term access to medications or blood products. Disease and patient-specific selection of access device type is important in minimizing complications and obtaining optimal outcomes. Because infection is the most common complication, enthusiasm has increased for developing methods to prevent infection, although without clear impact. Most infections can be treated successfully without device removal. Premature removal occurs more frequently with external catheters and may be minimized by techniques used for insertion and catheter care. Occlusion, if detected early, usually can be successfully managed by clot lysis.

Age Factors↗

Reproductive performance of lactating dairy cows and heifers resynchronized for a second insemination with an intravaginal progesterone-releasing device for 7 or 8d with estradiol benzoate injected at the time of device insertion and 24h after removal.

One aim of this study was to compare the reproductive performance of cows and heifers when resynchronizing returns to estrus for a second insemination by treating with an intravaginal progesterone-releasing device (IVD) for 7 or 8d when estradiol benzoate (EB) was administered at the start of treatment and again 24h after device removal. An additional aim was to document the pattern of onset and characteristics of estrus with each resynchrony treatment. Lactating cows in three herds were synchronized for a first estrus and AI by treatment with an IVD for 8d, starting on Day 0, cloprostenol (0.5 mg im) at device removal and EB at device insertion (2.0 mg im) and 24h after removal (1.0 mg im). Cows were resynchronized for a second estrus starting on Day 23 by reinsertion of IVDs for 7 (IVD-7-EB; n=449) or 8d (IVD-8-EB; n=445) with EB (1.0 mg im) administered at device insertion and 24h after removal. Cows were resynchronized for a third estrus by administration of EB (1.0 mg im) on Day 46, but subsequent treatments (no further treatment, reinsertion of CIDR or administration of EB on Day 55) varied among herds as part of separate studies. Maiden heifers (7-Day, n=68; 8-Day, n=69) were similarly treated as cows in a separate herd, but doses of EB were always 1.0 mg im at device insertion and 0.75 mg im 24h after removal. Heifers were not resynchronized for a third estrus. Cattle were inseminated on detection of estrus at each synchronized estrus. Cumulative pregnancy rates 4 week (66.0%, 276/418 versus 59.1%, 247/418) and 7 week (72.7%, 304/418 versus 67.7%, 283/418) after the start of AI were greater (P<0.05) in the IVD-7-EB cows compared to the IVD-8-EB cows, respectively; this was associated with a 9% increase in conception rates at the second estrus (P=0.051) in the IVD-7-EB cows. Treatment did not significantly affect reproductive performance in heifers. Characteristics of estrus measured with radiotelemetry did not differ significantly between the two treatment groups, but more cows were detected in estrus 36 h after removal of IVDs in the IVD-8-EB cows compared to the IVD-7-EB cows (P<0.05). We concluded that reproductive performance in resynchronized dairy cows but not heifers was greater following resynchronization of estrous cycles after AI with an IVD for 7 compared to 8d when EB was injected at the start of treatment and 24h after device removal.

Administration, Intravaginal↗

Removal of bone cement from the femoral canal using an acoustic emission-controlled milling device.

The removal of bone cement from the femoral canal in the case of hip prosthesis loosening takes a considerable amount of time and carries the additional risk of complications, thus risking bone damage and perhaps even endangering the successful reimplantation of a new prosthesis. We have demonstrated experimentally that the milling of bone and bone cement produces acoustic emission waves of different intensity. These waves can be measured by a commercial acoustic emission transducer. This method enables us to control a milling device during the removal of bone cement from deep in the femoral canal, avoiding the serious damage to the bone and thus enabling a new prosthesis to be reimplanted.

Acoustics↗

Effect of timing of prostaglandin administration, controlled internal drug release removal and gonadotropin releasing hormone administration on pregnancy rate in fixed-time AI protocols in crossbred Angus cows.

Two experiments were conducted to investigate the effects of timing of prostaglandin F2(alpha) (PGF2(alpha)) administration, controlled internal drug release device (CIDR) removal and second gonodotropin releasing hormone (GnRH) administration on the pregnancy outcome in CIDR-based synchronization protocols. In Experiment 1, suckled Angus crossbred beef cows (n = 580) were given 100 microg of GnRH+a CIDR on Day 0. Cows in Group 1 (modified Ovsynch-P) received 25 mg of dinoprost (PGF2(alpha)) and CIDR device removal on Day 8 (AM), 100 microg of GnRH 36 h later on Day 9 (p.m.), and fixed-time AI (FTAI) 16 h later on Day 10 (47.5+/-1.1 h after PGF2(alpha)). Cows in Group 2 (Ovsynch-P) received 25mg of PGF2(alpha) and CIDR device removal on Day 7 (p.m.), 100 microg of GnRH 48 h later on Day 9 and FTAI 16 h later on Day 10 (66.6+/-1.2 h after PGF2(alpha)). Pregnancy rates were 56.5% (170/301) for Group 1 and 55.6% (155/279) for Group 2, respectively (P = 0.47). In Experiment 2, beef cows (n=734) were synchronized with 100 microg of GnRH+CIDR on Day 0, 25 mg of PGF2(alpha) and CIDR device removal on Day 7 and either 100 microg of GnRH 48 h later on Day 9 (Ovsynch-P) and FTAI 16 h later on Day 10 (64.9+/-3.3 h from PGF2(alpha)) or 100 microg of GnRH on Day 10 (CO-Synch-P) at the time of AI (63.2+/-4.2 h from PGF2(alpha)). Pregnancy rates were 48.8% (180/369) for Ovsynch-P and 44.7% (163/365) for CO-synch-P groups, respectively (P = 0.11). In both experiments, there was a locationxtreatment interaction (P<0.05); pregnancy rates between locations were different (P < 0.05) in the Ovsynch-P group. In conclusion, in a CIDR-based Ovsynch synchronization protocol, delaying administration of prostaglandin and CIDR removal by 12 h, or timing of the second GnRH by 16 h, did not affect pregnancy rates to FTAI. Therefore, there may be an opportunity to make changes in synchronization protocols with out adversely affecting FTAI pregnancy rates.

Animals↗

Removal of an intrauterine device and the treatment of acute pelvic inflammatory disease.

The effect of removing intrauterine devices on the resolution of acute pelvic inflammatory disease was retrospectively studied in 186 hospital inpatients. In 105 patients the intrauterine device was left in place and in 81 it was removed on admission. The demographic and clinical findings in the two groups were similar. No differences were found between the two groups in their short-term response to treatment, except that when an intrauterine device was removed the time in hospital was more often prolonged.

Acute Disease↗

The effect of oral care feed-back devices on plaque removal and attitudes towards oral care.

OBJECTIVES: Two studies were carried out to investigate whether the effect of specific oral care feed-back devices would result in better plaque removal (Study 1) and lead to changes in attitudes and views relating to oral health (Study 2). The objective of the first study was to compare the ability of a toothbrush system consisting of a new toothbrush plus plaque disclosing tablet (SIGNAL Integral) to remove supra-gingival plaque to that of a marketed toothbrush (Oral B Cross Action) following a single unsupervised brushing. METHODS: Study 1 had a cross-over design and included 21 healthy adult volunteers. Subjects refrained from any form of oral hygiene for 24 hours prior to each test session. Plaque levels (Modified Quigley-Hein Plaque index) were assessed prior to and following each unsupervised brushing. When the new toothbrush was used, subjects self-disclosed their plaque with a disclosing tablet (erythrosine) immediately prior to brushing. At each occasion, brushing time (in sec) was also recorded. Study 2 had a two-cell, parallel design (test and control group) and lasted for five days. Healthy adult volunteers were enrolled. Subjects in the test group (n = 30) were given a fluoride toothpaste and four saliva test strips to use at home. The saliva test strip is designed to change colour in the pH range of 6.5 to 10, allowing the user to verify the effect of brushing. The control group (n = 29) received no saliva test strips. Subjects completed a questionnaire after 4 days of product use. RESULTS: In Study 1, significantly more plaque was removed (p < 0.05) and brushing time was increased by more than 20% when subjects used the new toothbrush together with the disclosing tablet compared to brushing with the marketed toothbrush. In Study 2, significant increases in motivation relating to oral hygiene were found in the test group who had been using the saliva test strip. CONCLUSION: The two studies have provided significant evidence that the provision of feed-back devices in an oral care context can lead to improved removal of plaque and increased motivation.

Adult↗

Development of a device for selective removal of CD4+ T cells.

To control antigen (Ag)-specific immune cells is important in the treatment of autoimmune diseases. In particular, controlling the immune response of autoimmune T cells is effective in the treatment of these diseases. The development of a device that can remove CD4+ T cells specifically by extracorporeal circulation is now in progress, with the aim to deplete autoimmune T cells. We developed a removal material made of polypropylene non-woven fabrics with anti human CD4 monoclonal antibody immobilized on the surface. Using a column packed with the removal material, we succeeded in removing CD4+ T cells specifically from peripheral whole blood by direct perfusion. Moreover, CD4+ T cells can be specifically removed even from blood with lower surface antigen density by in vitro activation.

Autoimmune Diseases↗

Selection of an adsorbent for lead removal from drinking water by a point-of-use treatment device.

The removal of lead from drinking water was investigated to develop a point-of-use water filter that could meet the regulation imposed by the new European Directive 98-83 lowering lead concentration in drinking water below 10 microgL(-1). The objective of this research was to assess the potential of different adsorbents (zeolites, resins, activated carbon, manganese oxides, cellulose powder) to remove lead from tap water with a very short contact time. To begin, the repartition of the lead species in a tap water and a mineral water was computed with the computer model CHESS. It showed that in bicarbonated waters lead is mainly under lead carbonate form, either in the aqueous or in the mineral phase. Batch experiments were then conducted to measure the equilibrium adsorption isotherms of the adsorbents. Then, for five of them, dynamic experiments in micro-columns were carried out to assess the outlet lead concentration level. Three adsorbents gave rise to a leakage concentration lower than 10 microgL(-1) and were then selected for prototypes experiments: chabasite, an activated carbon coated with a synthetic zeolite and a natural manganese oxide. The proposed method clearly showed that the measurement of equilibrium isotherms is not sufficient to predict the effectiveness of an adsorbent, and must be coupled with dynamic experiments.

Adsorption↗