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Detectable Difference (detectable + difference)
Selected AbstractsComparison of the Melbourne Assessment of Unilateral Upper Limb Function and the Quality of Upper Extremity Skills Test in hemiplegic CPDEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Issue 12 2008K Klingels MSc This study investigated interrater reliability and measurement error of the Melbourne Assessment of Unilateral Upper Limb Function (Melbourne Assessment) and the Quality of Upper Extremity Skills Test (QUEST), and assessed the relationship between both scales in 21 children (15 females, six males; mean age 6y 4mo [SD 1y 3mo], range 5,8y) with hemiplegic CP. Two raters scored the videotapes of the assessments independently in a randomized order. According to the House Classification, three participants were classified as level 1, one participant as level 3, eight as level 4, three as level 5, one participant as level 6, and five as level 7. The Melbourne Assessment and the QUEST showed high interrater reliability (intraclass correlation 0.97 for Melbourne Assessment; 0.96 for QUEST total score; 0.96 for QUEST hemiplegic side). The standard error of measurement and the smallest detectable difference was 3.2% and 8.9% for the Melbourne Assessment and 5.0% and 13.8% for the QUEST score on the hemiplegic side. Correlation analysis indicated that different dimensions of upper limb function are addressed in both scales. [source] Causal Links between Brain Cytokines and Experimental Febrile Convulsions in the RatEPILEPSIA, Issue 12 2005James G. Heida Summary:,Purpose: Despite the prevalence of febrile convulsions (FCs), their pathophysiology has remained elusive. We tested the hypothesis that components of the immune response, particularly the proinflammatory cytokine interleukin-1, (IL-1,) and its naturally occurring antagonist interleukin-1 receptor antagonist (IL-1ra) may play a role in the genesis of FC. Methods: Postnatal day 14 rats were treated with lipopolysaccharide (LPS; 200 ,g/kg, i.p.) followed by a subconvulsant dose of kainic acid (1.75 mg/kg, i.p.). Brains were harvested at and 2 h after onset of FCs to measure brain levels of IL-1, and IL-1ra. Separate groups of animals were given intracerebroventricular (ICV) injections of IL-1,, or IL-1ra in an attempt to establish a causal relation between the IL-1,/IL-1ra system and FCs. Results: Animals with FCs showed increased IL-1, in the hypothalamus and hippocampus but not in the cortex compared with noFC animals that also received LPS and kainic acid. This increase was first detected in the hippocampus at onset of FCs. No detectable difference in IL-1ra was found in brain regions examined in either group. When animals were treated with IL-1, ICV, a dose-dependant increase was noted in the proportion of animals that experienced FCs, whereas increasing doses of IL-1ra, given to separate groups of animals, were anticonvulsant. Conclusions: Our results suggest that excessive amounts of IL-1, may influence the genesis of FCs. This may occur by overproduction of IL-1,, or by alteration in the IL-1,/IL-1ra ratio in the brain after an immune challenge. [source] Expression and localization of P2 nucleotide receptor subtypes during development of the lateral ventricular choroid plexus of the ratEUROPEAN JOURNAL OF NEUROSCIENCE, Issue 11 2007P. A. Johansson Abstract The choroid plexuses secrete cerebrospinal fluid (CSF) and regulate the brain's internal environment via the blood,CSF barrier. The permeability properties of the blood,CSF interface have been studied previously in adult and immature brains, however, little is known about the development of CSF secretion and its modulation. ATP influences secretion in other epithelia via ionotropic P2X or metabotropic P2Y receptors. P2 receptors have frequently been found to be down-regulated in the postnatal period, suggesting a developmental role for purinergic and pyrimidine signalling. The present study investigated the expression of P2 receptors in lateral ventricular choroid plexus in relation to recent studies of aquaporin-1 expression and rapid expansion of the lateral ventricles in rat embryos. In the present study mRNAs for all known mammalian nucleotide receptor subtypes, except P2X7, were identified from as early as E15. P2X7 mRNA was detected from E18. Indications of differential expression patterns were observed for the different subtypes during development: an apparent increase in expression for P2Y2 and P2X7, a decline in P2X1-2,4, no detectable difference in expression levels for P2X6 and P2Y12-13 and transient expression peaks for P2X3,5 and P2Y1,4,6,14. P2X4,5,7 and P2Y1,4 receptor proteins were detected immunohistochemically in the choroidal epithelium from early in development (E15 or E18). Their differing developmental profiles suggest specific roles in the development of CSF secretion that may have particular relevance for the rapid expansion of the ventricles that occurs in the embryo. P2X5 and P2Y6 were also detected in the developing neuropendyma from P0 and P9, respectively. [source] Phosphorylation of phosphodiesterase-5 by cyclic nucleotide-dependent protein kinase alters its catalytic and allosteric cGMP-binding activitiesFEBS JOURNAL, Issue 9 2000Jackie D. Corbin In addition to its cGMP-selective catalytic site, cGMP-binding cGMP-specific phosphodiesterase (PDE5) contains two allosteric cGMP-binding sites and at least one phosphorylation site (Ser92) on each subunit [Thomas, M.K., Francis, S.H. & Corbin, J.D. (1990) J. Biol. Chem.265, 14971,14978]. In the present study, prior incubation of recombinant bovine PDE5 with a phosphorylation reaction mixture [cGMP-dependent protein kinase (PKG) or catalytic subunit of cAMP-dependent protein kinase (PKA), MgATP, cGMP, 3-isobutyl-1-methylxanthine], shown earlier to produce Ser92 phosphorylation, caused a 50,70% increase in enzyme activity and also increased the affinity of cGMP binding to the allosteric cGMP-binding sites. Both effects were associated with increases in its phosphate content up to 0.6 mol per PDE5 subunit. Omission of any one of the preincubation components caused loss of stimulation of catalytic activity. Addition of the phosphorylation reaction mixture to a crude bovine lung extract, which contains PDE5, also produced a significant increase in cGMP PDE catalytic activity. The increase in recombinant PDE5 catalytic activity brought about by phosphorylation was time-dependent and was obtained with 0.2,0.5 ,m PKG subunit, which is approximately the cellular level of this enzyme in vascular smooth muscle. Significantly greater stimulation was observed using cGMP substrate concentrations below the Km value for PDE5, although stimulation was also seen at high cGMP concentrations. Considerably higher concentration of the catalytic subunit of PKA than of PKG was required for activation. There was no detectable difference between phosphorylated and unphosphorylated PDE5 in median inhibitory concentration for the PDE5 inhibitors, sildenafil, or zaprinast 3-isobutyl-1-methylxanthine. Phosphorylation reduced the cGMP concentration required for half-maximum binding to the allosteric cGMP-binding sites from 0.13 to 0.03 ,m. The mechanism by which phosphorylation of PDE5 by PKG could be involved in physiological negative-feedback regulation of cGMP levels is discussed. [source] Diurnal variations in first lapses to smoking for nicotine patch usersHUMAN PSYCHOPHARMACOLOGY: CLINICAL AND EXPERIMENTAL, Issue 5 2003Michael Ussher Abstract Amongst those not using nicotine replacement therapy (NRT), first lapses to smoking have been shown to be more common in the afternoons and evenings than the mornings. The present study investigated whether first lapses amongst those using 16,h nicotine patches follow a similar pattern. This is of interest because 16,h patches may not provide sufficient nicotine early in the morning to meet the needs of smokers. 200 male and female smokers attended a cessation programme combining behavioural support and 16,h nicotine patches. During the first 2 weeks of smoking abstinence 70 smokers reported first lapses. The frequency of first lapses was significantly higher in the afternoons (12.00,18.00,h, 30 lapses) and evenings (18.00,24.00, 35 lapses) than in the mornings (24.00,12.00, five lapses, p,<,0.001 for both comparisons). There was no detectable difference between the rates of first lapse in the afternoon and evening. In conclusion, abstaining smokers using 16,h nicotine patches are more likely to experience their first lapse in the afternoon or evening rather than in the morning. Despite nicotine patches providing limited nicotine replacement for the first few hours after waking, there is no evidence that this undermines quit attempts by failing to prevent lapses during that time. Copyright © 2003 John Wiley & Sons, Ltd. [source] Episodes of alpine heavy precipitation with an overlying elongated stratospheric intrusion: a climatologyINTERNATIONAL JOURNAL OF CLIMATOLOGY, Issue 9 2006Olivia Martius Abstract This study discusses the role of stratospheric intrusions (determined as potential vorticity (PV) streamers) as upper-level instigators of heavy precipitation along the Swiss Alpine south side (AS) on a climatological timescale. A climatology of streamers is used compiled on the basis of the ECMWF 40-year re-analysis data set (ERA-40). Days of extreme and heavy precipitation along the Swiss AS are determined from an existing observational Alpine precipitation climatology. For these days, the presence of streamers over western Europe as well as their location and orientation is recorded. On 73% of the extreme precipitation days, a streamer is situated over western Europe. The mean spatial frequency distribution of the streamers on the extreme precipitation days exhibits a structure that resembles in its form and location the ,archetypal heavy precipitation streamer' known from case studies. The frequency maximum is situated over southern England and the west coast of France. The same analysis is applied to three sub-domains (Valais, Grisons, Ticino) along the Swiss AS. Significant differences in the location and the orientation of the streamers for the sub-domains are found. The majority of streamers associated with heavy rain in the western-most sub-domain (Valais) are oriented in a cyclonically-sheared fashion, while for the Ticino the streamers are more anti-cyclonically orientated. Differences for events of increasing severity are analysed by comparing the form, location, amplitude (PV), and persistence of the streamers on extreme and heavy precipitation days. The precipitation distribution is shifted to higher intensities for more persistent streamers. There is no detectable difference found in the form parameters, but the southerly moisture flux into the domain is significantly larger during extreme precipitation days than during heavy precipitation days. Likewise, the seasonal variation in the percentage of streamer-related heavy precipitation, which is highest in autumn (85%), can be related to the seasonal variation of southerly moisture fluxes. Copyright © 2006 Royal Meteorological Society. [source] In vivo molecular imaging of adenoviral versus lentiviral gene therapy in two bone formation modelsJOURNAL OF ORTHOPAEDIC RESEARCH, Issue 8 2006Brian T. Feeley Abstract Regional gene therapy techniques are promising methods to enhance bone formation in large bone defects that would be difficult to treat with allograft or autograft bone stock. In this study, we compared in vivo temporal expression patterns of adenoviral- and lentiviral-mediated gene therapy in two bone formation models. Primary rat bone marrow cells (RBMC) were transduced with lentiviral or adenoviral vectors containing luciferase (Luc) or BMP-2 cDNA, or cotransduced with vectors containing Luc and bone morphogenetic protein 2 (BMP-2). In vitro protein production was determined with luciferase assay or ELISA (for BMP-2 production) weekly for 12 weeks. Two bone formation models were used,a hind limb muscle pouch or radial defect,in SCID mice. A cooled charged-coupled device (CCD) camera was used to image in vivo luciferase expression weekly for 12 weeks. In vitro, adenoviral expression of BMP-2 and luciferase was detected by ELISA or luciferase assay, respectively, for 4 weeks. Lentiviral expression of BMP-2 and luciferase was sustained in culture for 3 months. Using the CCD camera, we found that adenoviral vectors expressed luciferase expression for up to 21 days, but lentiviral vectors expressed target gene expression for 3 months in vivo in both bone formation models. There was no detectable difference in the amount of bone formed between the adenoviral and lentiviral groups. Lentiviral-mediated delivery of BMP-2 can induce long term in vitro and in vivo gene expression, which may be beneficial when developing tissue engineering strategies to heal large bone defects or defects with a compromised biologic environment. © 2006 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 24:1709,1721, 2006 [source] Thermodilution cardiac output , are three injections enough?ACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 10 2004L. B. Nilsson Background:, Bolus thermodilution cardiac output measurements have been a mainstay in clinical monitoring of critically ill patients for more than 30 years. Usually the results of an arbitrarily chosen number (1,6) of thermal indicator injections are averaged to increase the reliability of the measurement. The number of injections needed to achieve a given level of precision has, however, not previously been systematically investigated. Methods and results:, In 80 hemodynamically stable patients cardiac output was determined as the average of eight injections of 10 ml of iced saline. From the 638 measurements we examined the relationship between the number of thermal indicator injections and the precision of the resulting cardiac output estimate. Furthermore, the association between the number of injections and the least detectable difference among two sets of measurements was established. Conclusion:, The current study shows that one needs to average the results of four injections to be 95% confident that the result is within 5% of the ,true' cardiac output and that two series of four measurements have to differ by at least 7% before one can be sure (95%) that a change in cardiac function has taken place. [source] "Allegory of the theologians" or "allegory of the poets": Allegory in Dante's CommediaORBIS LITERARUM, Issue 5 2000Leonardo Cecchini To define the nature of the allegory in Dante's Commedia has always been one of the main objectives of Dante research. What is the immediately detectable difference between the allegory in the Commedia and that of the traditional allegorical-didactic poems? What kind of allegory did Dante have in mind when writing the Commedia? This article is my contribution to a possible solution of this problem. My assumption is that Dante wanted to give the Commedia a complex polysemous structure: a structure that, in a new and original way, unites the two traditional medieval forms of allegory, the poetical and the theological (according to Dante's own terminology in Convivio"allegory of the theologians" and "allegory of the poets"). The article is divided into four parts: first a synthetic presentation of the concept of allegory; an analysis of the most important passages where Dante treats the problem theoretically (this includes especially some passages from Convivio, and the much discussed Epistle XIII); a discussion of some of the most important positions within the Dante research; and finally a possible solution to the problem. [source] Assessment of Noise in Digital ElectrocardiogramsPACING AND CLINICAL ELECTROPHYSIOLOGY, Issue 4 2002VELISLAV BATCHVAROV BATCHVAROV, V., et al.: Assessment of Noise in Digital Electrocardiograms. Technically related noise in 12-lead ECGs recorded with ambulatory recorders has never been systematically compared with that in ECGs recorded with conventional ECGs. This study compared serial 10-second ECGs obtained in ten healthy men, age 22,45 years, who were recorded in the supine resting position using a (1) MAC VU recorder, (2) digital ambulatory SEER MC recorder with a Multi-Link detachable ECG cable, and (3) digital ambulatory SEER MC recorder with a light ambulatory ECG cable. In each ECG, averaged sinus rhythm cycles of the entire recording were realigned with the native signal and subtracted. The resulting "residuum" was quantified by computing its standard deviation and root mean square of successive differences (RMSSD). While the RMSSD residuum values were significantly lower with the MAC VU recorder (6.27 ± 0.98 ,V) than with the SEER MC recorder with either ECG cables (7.29 ± 1.31 and 7.17 ± 1.31 ,V, P < 0.003 and p < 0.02), the difference was practically negligible and there was no detectable difference in the standard deviation residuum values. The study concludes that valid ECG investigations of serial ECG testing may be conducted using the ambulatory SEER MC recorders providing the biological sources of ECG noise are controlled. The available technology for noise assessment suggests that studies involving advanced analysis of serial ECGs (e.g., of drug related changes), should incorporate objective characterisation of ECG quality. [source] Determination of the minimal clinically important difference in rheumatoid arthritis joint damage of the Sharp/van der Heijde and Larsen/Scott scoring methods by clinical experts and comparison with the smallest detectable differenceARTHRITIS & RHEUMATISM, Issue 4 2002Karin Bruynesteyn Objective To assess the minimal clinically important difference (MCID) in joint damage on hand and foot radiographs of patients with early rheumatoid arthritis (RA) as assessed with the Sharp/van der Heijde and Larsen/Scott methods, and to study how the smallest detectable difference (SDD) relates to the MCID for each method. Methods The judgments of an international panel of experts on the clinical relevance of progression of joint damage as seen on sets of radiographs obtained at 1-year intervals in 4 clinical settings (early versus late RA and mild versus high disease activity) were used as the external criterion, which was compared with the progression scores as determined by the 2 scoring methods. Progression scores with the highest combined sensitivity and specificity for detecting clinically relevant progression represented the MCID. Subsequently, the sensitivity and specificity of the scoring methods were determined when using the SDD as the threshold for relevant progression, and these were compared with the sensitivity and specificity of the MCID. Results The panel judged changes in joint damage around the level of the SDD (5.0) of the Sharp/van der Heijde method as minimal clinically important, resulting in satisfactory sensitivity (mean 79%) and specificity (mean 84%) for detecting clinically important progression in the 4 clinical settings when using the SDD as the threshold value. The MCID (mean 2.3) of the Larsen/Scott method was much smaller than its SDD (5.8), and the sensitivity for detecting clinically important progression by applying the SDD as threshold was consequently low (mean 51%), accompanied by high specificity (mean 99%). Conclusion This study suggests that the SDD of the Sharp/van der Heijde method can be used as the MCID, i.e., as the threshold level for individual response criteria. The SDD of the Larsen/Scott method, however, turned out to be too insensitive to use as the threshold for individual clinically relevant change. [source] Contemporary habitat loss reduces genetic diversity in an ecologically specialized butterflyJOURNAL OF BIOGEOGRAPHY, Issue 7 2010Neil Collier Abstract Aim, This study investigated the influence of contemporary habitat loss on the genetic diversity and structure of animal species using a common, but ecologically specialized, butterfly, Theclinesthes albocincta (Lepidoptera: Lycaenidae), as a model. Location, South Australia. Methods, We used amplified fragment length polymorphism (AFLP) and allozyme datasets to investigate the genetic structure and genetic diversity among populations of T. albocincta in a fragmented landscape and compared this diversity and structure with that of populations in two nearby landscapes that have more continuous distributions of butterflies and their habitat. Butterflies were sampled from 15 sites and genotyped, first using 363 informative AFLP bands and then using 17 polymorphic allozyme loci (n = 248 and 254, respectively). We complemented these analyses with phylogeographic information based on mitochondrial DNA (mtDNA) haplotype information derived from a previous study in the same landscapes. Results, Both datasets indicated a relatively high level of genetic structuring across the sampling range (AFLP, FST = 0.34; allozyme, FST = 0.13): structure was greatest among populations in the fragmented landscape (AFLP, FST = 0.15; allozyme, FST = 0.13). Populations in the fragmented landscape also had significantly lower genetic diversity than populations in the other two landscapes: there were no detectable differences in genetic diversity between the two continuous landscapes. There was also evidence (r2 = 0.33) of an isolation by distance effect across the sampled range of the species. Main conclusions, The multiple lines of evidence, presented within a phylogeographic context, support the hypothesis that contemporary habitat fragmentation has been a major driver of genetic erosion and differentiation in this species. Theclinesthes albocincta populations in the fragmented landscape are thus likely to be at greater risk of extinction because of reduced genetic diversity, their isolation from conspecific subpopulations in other landscapes, and other extrinsic forces acting on their small population sizes. Our study provides compelling evidence that habitat loss and fragmentation have significant rapid impacts on the genetic diversity and structure of butterfly populations, especially specialist species with particular habitat preferences and poor dispersal abilities. [source] Patterns of helping effort in co-operatively breeding banded mongooses (Mungos mungo)JOURNAL OF ZOOLOGY, Issue 2 2003Michael A. Cant Abstract In most co-operative breeding species, some individuals contribute much more to helping behaviour than others. The most well-established explanation of such variation is based on kin selection and suggests that, in the absence of detectable differences in relatedness, individuals who suffer lower costs for a given level of help should contribute more. Differences in helping effort between dominance/sex categories were investigated in co-operatively breeding banded mongooses Mungos mungo in Uganda. The most conspicuous form of help in this species is provided by individuals who babysit offspring at the den while the rest of the pack goes off to forage. Across eight groups, the survival rate of pups increased with the average number of babysitters guarding them, consistent with the hypothesis that helpers benefit the brood that they guard. There was no difference between dominant males, subordinate males and breeding females in total contributions to babysitting. Subordinate males, however, contributed more to babysitting in the mornings, which were the longest and presumably the most energetically expensive sessions of the day. In six litters in one well-studied pack, dominant males and breeding females reduced their contribution to babysitting for the period that females were in oestrus. By contrast, subordinate males increased their contribution to become the main babysitters during this time. These results are consistent with the hypothesis that, where helping conflicts with breeding, individuals with little chance of direct reproduction can help at a lower fitness cost than those with a high probability of successful reproduction. [source] Alterations in inorganic phosphate in mouse hindlimb muscles during limb disuse,NMR IN BIOMEDICINE, Issue 2 2008Neeti Pathare Abstract Muscle disuse induces a wide array of structural, biochemical, and neural adaptations in skeletal muscle, which can affect its function. We recently demonstrated in patients with an orthopedic injury that cast immobilization alters the resting Pi content of skeletal muscle, which may contribute to loss of specific force. The goal of this study was to determine the direct effect of disuse on the basal phosphate content in skeletal muscle in an animal model, avoiding the confounding effects of injury/surgery. 31P and 1H MRS data were acquired from the gastrocnemius muscle of young adult mice (C57BL6 female, n,=,8), at rest and during a reversible ischemia experiment, before and after 2 weeks of cast immobilization. Cast immobilization resulted in an increase in resting Pi content (75%; p,<,0.001) and the Pi to phosphocreatine (PCr) ratio (Pi/PCr; 80%, p,<,0.001). The resting concentrations of ATP, PCr and total creatine (PCr,+,creatine) and the intracellular pH were not significantly different after immobilization. During ischemia (30,min), PCr concentrations decreased to 54,±,2% and 52,±,6% of the resting values in pre-immobilized and immobilized muscles, respectively, but there were no detectable differences in the rates of Pi increase or PCr depletion (0.55,±,0.01,mM min,1 and 0.52,±,0.03,mM min,1 before and after immobilization, respectively; p,=,0.78). At the end of ischemia, immobilized muscles had a twofold higher phosphorylation potential ([ADP][Pi]/[ATP]) and intracellular buffering capacity (3.38,±,0.54 slykes vs 6.18,±,0.57 slykes). However, the rate of PCr resynthesis (kPCr) after ischemia, a measure of in vivo mitochondrial function, was significantly lower in the immobilized muscles (0.31,±,0.04,min,1) than in pre-immobilized muscles (0.43,±,0.04,min,1). In conclusion, our findings indicate that 2 weeks of cast immobilization, independent of injury-related alterations, leads to a significant increase in the resting Pi content of mouse skeletal muscle. The increase in Pi with muscle disuse has a significant effect on the cytosolic phosphorylation potential during transient ischemia and increases the intracellular buffering capacity of skeletal muscle. Copyright © 2007 John Wiley & Sons, Ltd. [source] Risk factors for pre-eclampsia in nulliparous and parous women: the Jerusalem Perinatal StudyPAEDIATRIC & PERINATAL EPIDEMIOLOGY, Issue 1 2005E. F. Funai Summary Pre-eclampsia has been described as a ,disease of first pregnancies' and many believe that its occurrence in a later pregnancy signals a fundamentally different entity. We sought to compare risk factors in first and subsequent pregnancies. We studied 1319 cases of pre-eclampsia recorded in a historical cohort of 82 436 deliveries in Jerusalem in 1964,76. Logistic regression was used to control for covariates. The adjusted odds ratio (OR) for pre-eclampsia in first births was 2.58 (95% confidence interval[CI] 2.23, 2.97), compared with all later birth order groups, between which there were no detectable differences in risk. Other risk factors included increasing maternal age, diabetes (OR 5.64, 95% CI 4.33, 7.35), multiple gestations (OR 3.38, 95% CI 2.54, 4.49), fetal haemolytic disease (OR 2.24, 95% CI 1.43, 3.50) and lower maternal education. The risk of pre-eclampsia was not associated with the mother's employment outside the home and did not differ between immigrants vs. Israeli-born mothers or between groups of women whose fathers had been born in Western Asia, North Africa or Europe. Effects of each risk factor were similar within first and subsequent births. These results lend no support to the hypothesis that there is a fundamental difference between pre-eclampsia in a first pregnancy compared with that occurring in a later pregnancy; conclusions may be moderated, however, by the knowledge that the incidence of pre-eclampsia was low in this historical cohort. [source] The effects of total hip arthroplasty on the structural and biomechanical properties of adult boneAMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 2 2009Joshua J. Peck Abstract The responsiveness of bone to mechanical stimuli changes throughout life, with adaptive potential generally declining after skeletal maturity is reached. This has led some to question the importance of bone functional adaptation in the determination of the structural and material properties of the adult skeleton. A better understanding of age-specific differences in bone response to mechanical loads is essential to interpretations of long bone adaptation. The purpose of this study is to examine how the altered mechanical loading environment and cortical bone loss associated with total hip arthroplasty affects the structural and biomechanical properties of adult bone at the mid-shaft femur. Femoral cross sections from seven individuals who had undergone unilateral total hip arthroplasty were analyzed, with intact, contralateral femora serving as an approximate internal control. A comparative sample of individuals without hip prostheses was also included in the analysis. Results showed a decrease in cortical area in femora with prostheses, primarily through bone loss at the endosteal envelope; however, an increase in total cross-sectional area and maintenance of the parameters of bone strength, Ix, Iy, and J, were observed. No detectable differences were found between femora of individuals without prostheses. We interpret these findings as an adaptive response to increased strains caused by loading a bone previously diminished in mass due to insertion of femoral prosthesis. These results suggest that bone accrued through periosteal apposition may serve as an important means by which adult bone can functional adapt to changes in mechanical loading despite limitations associated with senescence. Am J Phys Anthropol 2009. © 2008 Wiley-Liss, Inc. [source] Permeability of intestinal mucosa from urinary reservoirs in man and ratBJU INTERNATIONAL, Issue 9 2000P. Nejdfors Objective To evaluate the barrier properties of intestinal mucosa chronically exposed to urine and to evaluate possible differences between ileal and colonic segments used in the reconstruction of the urinary tract. Materials and methods Mucosal specimens from patients with continent reservoirs with an abdominal stoma, or orthotopic neobladders constructed from colonic segments, were obtained at revisional surgery. Control segments were obtained during right-sided hemicolectomy. In addition, ileal and colonic segments from enterocystoplasties in rats were assessed. The mucosa-to-serosa passage of marker molecules, i.e. 14C-mannitol, 3H-glucose, fluorescein isothiocyanate-dextran 4400 and ovalbumin, was measured using modified Ussing diffusion chambers. Results In man, there were no permeability differences between segments exposed to urine and control segments for any of the marker molecules. In rats, there was less passage of markers in ileal and colonic transplanted segments than in intestinal segments from sham-operated animals. Conclusions Intestinal mucosa that has been in chronic contact with urine maintains its barrier function; in the rat model the permeability was even decreased. In addition, there were no detectable differences between ileal and colonic segments in this model. [source] | ||||||||||||||||