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Medical Sciences	75%

Selected Abstracts

Serotonin and dopamine transporter binding in children with autism determined by SPECT

DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Issue 8 2008
Ismo Makkonen MD
Disturbances in the serotonergic system have been recognized in autism. To investigate the association between serotonin and dopamine transporters and autism, we studied 15 children (14 males, one female; mean age 8y 8mo [SD 3y 10mo]) with autism and 10 non-autistic comparison children (five males, five females; mean age 9y 10mo [SD 2y 8mo]) using single-photon emission computed tomography (SPECT) with [123I] nor-,-CIT. The children, with autism were studied during light sedation. They showed reduced serotonin transporter (SERT) binding capacity in the medial frontal cortex, midbrain, and temporal lobe areas. However, after correction due to the estimated effect of sedation, the difference remained significant only in the medial frontal cortex area (p=0.002). In the individuals with autism dopamine transporter (DAT) binding did not differ from that of the comparison group. The results indicate that SERT binding capacity is disturbed in autism. The reduction is more evident in adolescence than in earlier childhood. The low SERT binding reported here and the low serotonin synthesis capacity shown elsewhere may indicate maturation of a lesser number of serotonergic nerve terminals in individuals with autism. [source]

Functional outcomes of transoral laser surgery of supraglottic carcinoma compared with a transcervical approach

HEAD & NECK: JOURNAL FOR THE SCIENCES & SPECIALTIES OF THE HEAD AND NECK, Issue 8 2004
Rubén Cabanillas MD
Abstract Background. Several functional advantages have been described for the transoral laser supraglottic laryngectomy as compared with open techniques. However, comparative studies have been rarely performed. Methods. Functional results in 26 patients treated with a transoral approach were retrospectively compared with those of a comparable series of 26 patients who underwent a transcervical approach. Results. The only significant differences found between the two groups were a lesser number of temporary tracheotomies and a shorter time of removal of the nasogastric tube in the laser group. No significant differences were found in the incidence of postoperative complications, hospital stay, and swallowing capacity. Conclusions. The rate of functional problems after transoral laser surgery did not greatly decrease compared with the rate after the conventional procedure. The mayor advantage of the transoral approach was the lower incidence of temporary tracheotomies. © 2004 Wiley Periodicals, Inc. Head Neck26: 653,659, 2004 [source]

ACQUIRED CARDIOVASCULAR DISEASE Original Articles: A Prospective Observational Study to Compare Conventional Coronary Artery Bypass Grafting Surgery with Off-Pump Coronary Artery Bypass Grafting on Basis of EuroSCORE

JOURNAL OF CARDIAC SURGERY, Issue 5 2010
Pawan Singhal M.Ch.
Off-pump coronary bypass (OPCAB) surgery has become a widely used technique during recent years. EuroSCORE risk scale is the most rigorously evaluated scoring system in cardiac surgery to preoperatively quantify the risk of death and other serious postoperative complications. The aim of this prospective observational study was to compare the mortality and morbidity between OPCAB and conventional CABG in three major preoperative groups as assessed by EuroSCORE. Material and Method: All consecutive patients undergoing isolated coronary artery bypass surgery between January 2003 and December 2004 at Wellington Hospital were included. In this period, 347 patients had conventional CABG and 254 patients had OPCAB. Data were prospectively collected according to Australasian Society of Cardiothoracic Surgeons' cardiac surgery data set. The preoperative additive EuroSCORE was computed in each patient and the patients were divided into three risk groups. Results of OPCAB and conventional CABG were compared on basis of EuroSCORE group. Results: OPCAB surgery is preferably performed in patients with low-risk. OPCAB group had lesser number of grafts per patient. When adjusted with risk score, there was no statistically significant difference in mortality in any of the three groups. No significant difference was found for stroke, renal dysfunction, atrial fibrillation, re-exploration for bleeding, deep sternal wound infection, or pulmonary complications in either of three groups. However, inotropic requirement and requirements of blood products were less in OPCAB group. Conclusion: OPCAB does not offer any significant advantage in terms of mortality and morbidity over conventional CABG.,(J Card Surg 2010;25:495-500) [source]

Nocturnal swimming, aggregation at light traps, and mass spawning of scissurellid gastropods (Mollusca: Vetigastropoda)

INVERTEBRATE BIOLOGY, Issue 1 2007
Carole S. Hickman
Abstract. Thousands of minute scissurellid gastropods (Vetigastropoda: Scissurellidae) were observed and collected at floating light traps in Moorea, French Polynesia, where a mass spawning event occurred on November 11, 2002. More than 20,000 live snails were recovered from the traps, and epidemic spawning continued in the laboratory, where clouds of white sperm and red-orange eggs were broadcast into the water. No aggregations of this magnitude have been reported previously in vetigastropods, nor is the capacity for sustained swimming known from other vetigastropod taxa. Snails had emerged from a local benthic habitat of coral sand and swum through ,2 m of water to reach the traps. Scanning electron micrographs of the ornate shells confirm the identity of the most abundant species as Scissurella spinosa, with lesser numbers of Sinezona plicata. Our observations indicate that scissurellids are not exclusively benthic and that they are not rare, even though they have seldom been collected and studied alive. Because little is known about the basic biology and anatomy of scissurellids and because their position within the basal Gastropoda is poorly resolved, we include information on the design and construction of inexpensive light traps to promote comparative investigation of other poorly known species. [source]