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Mouth Opening (mouth + opening)
Selected AbstractsDigestive tract ontogeny of Dicentrarchus labrax: Implication in osmoregulationDEVELOPMENT GROWTH & DIFFERENTIATION, Issue 3 2006Ivone Giffard-Mena The ontogeny of the digestive tract (DT) and of Na+/K+ -ATPase localization was investigated during the early postembryonic development (from yolk sac larva to juvenile) of the euryhaline teleost Dicentrarchus labrax reared at two salinities: seawater and diluted seawater. Histology, electron microscopy and immunocytochemistry were used to determine the presence and differentiation of ion transporting cells. At hatching, the DT is an undifferentiated straight tube over the yolk sac. At the mouth opening (day 5), it comprises six segments: buccopharynx, esophagus, stomach, anterior intestine, posterior intestine and rectum, well differentiated at the juvenile stage (day 72). The enterocytes displayed ultrastructural features similar to those of mitochondria-rich cells known to be involved in active ion transport. At hatching, ion transporting cells lining the intestine and the rectum exhibited a Na+/K+ -ATPase activity which increased mainly after the larva/juvenile (20 mm) metamorphic transition. The immunofluorescence intensity was dependent upon the stage of development of the gut as well as on the histological configuration of the analyzed segment. The appearance and distribution of enteric ionocytes and the implication of the DT in osmoregulation are discussed. [source] Minireview: On the homology of the protocoel in Cephalochordata and ,lower' DeuterostomiaACTA ZOOLOGICA, Issue 1 2002Thomas Stach Abstract Hypotheses regarding the homology of the protocoel in planktonic deuterostome larvae and mesodermal structures in ontogenetic stages of cephalochordates are evaluated. The prevalent ,classical' hypothesis describes the protocoel as being homologous with the diverticula of Hatschek, which, on the left side, develop into the preoral pit, subsequently into Hatschek's pit and groove (in part). This hypothesis is based mainly on the position of Hatschek's diverticula anterior to the rest of the mesoderm during their enterocoelic origin. It is shown here that during development the mesodermal segment that develops into Hatschek's nephridium is the most anterior one prior to formation of Hatschek's diverticula, and this segment assumes an anteriormost position after differentiation of Hatschek's diverticula. Additional similarities between this segment and protocoels are: (i) presence of endomesodermal cells with podocytic extensions, (ii) excretory function, (iii) relatively early ontogenetic origin, (iv) probable lack of association with nervous structures, (v) probable ectodermal origin of a portion of the canal, and (vi) position relative to the mouth opening. Therefore, homology between the protocoel and the segment that becomes Hatschek's nephridium is proposed. It is concluded that a glandular structure homologous to the diverticula of Hatschek and anterior to the protocoel/Hatschek's nephridium is a synapomorphy of notochordates or chordates. [source] Phylogenetic analysis of the pearlfish tribe Carapini (Pisces: Carapidae)ACTA ZOOLOGICA, Issue 4 2000E. Parmentier Abstract Fishes of the tribe Carapini (Encheliophis and Carapus) share a noteworthy peculiarity: they shelter in holothurian echinoderms or bivalve hosts. Some species are considered parasitic, others commensal. This study focuses on the phylogeny of the tribe, using two other Carapidae species as an outgroup (Snyderidia canina and Onuxodon fowleri). Insofar as possible, the selected anatomical and behavioural characters where chosen in an ecomorphological perspective, as features that could be responses to various lifestyle-related constraints. Our character selection also took into account the fact that some features are (presumably) linked. Such features were grouped together as a single trait to avoid their overvaluation. This methodology enabled commensals to be separated from parasites, the former belonging to Carapus and the latter to Encheliophis. Carapus species reflect in their morphology the constraints imposed by a diet of hard, mobile, elusive prey, showing predator-type features: a strong dentition, a wide mouth opening, a robust food intake apparatus. On the other hand, the endoparasitic Encheliophis species show a generally weaker buccal apparatus and narrow mouth opening, in relation to the different constraints of their lifestyle where the diet constraints are less pronounced: they eat body parts of their host. Changes in both generic diagnoses are proposed and three species are transferred from Encheliophis to Carapus. [source] Variability of tilapias (Oreochromis spp.) introduced in Mexico: morphometric, meristic and genetic charactersJOURNAL OF APPLIED ICHTHYOLOGY, Issue 1 2004I. D. L. A. Barriga-Sosa Summary In Mexico, the tilapia Oreochromis provides one of the most important sources of animal protein and income in a wide variety of communities throughout the country, however, their culture and production face severe problems because of lack of management information. Evaluated in the present study is the degree of morphological, meristic and allozyme variation of two tilapia strains, two species and one hybrid from two important reservoirs in Mexico, two tilapia fry production farms (TFPF) and an experimental production system (EPS), to diagnose the actual status and degree of variation among them. Twenty-two presumptive loci were utilized to determine the genetic variation, structuring and distances among samples. Multivariate analyses of 11 meristic and 33 morphometric characters were also evaluated, including the distance from the end of the mouth opening to the most anterior dorsal fin (0.9894), distance from the anal fin base to the anterior part of the caudal fin (0.9845) and the base length of the dorsal fin (0.9839) which contributed to the separation of groups. The canonical discriminant functions for the morphometric and meristic variables show that the correct classification of the organisms in percentages and in the sites of origin was on average 72%. The tilapia from the reservoirs and the experimental production system had higher genetic variations than tilapia from the fry production farms (average He 0.310, 0.062, 0.151 for Metztitlan, Infiernillo and EPS, respectively, vs 0.024 and 0.000 for Los Amates and Zacatepec, respectively). The genetic data indicate that fishes of the TFPF should be monitored closely, as they are the main source of dispersion to the reservoirs. Present results show that these data could be a fast and reliable aid to the fisheries and management of tilapia in Mexico. [source] Combining the EndoFlex® tube with fiberoptic bronchoscopy in difficult intubationACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 7 2009K. SUGIYAMA We applied a combination technique using the EndoFlex® tube with fiberoptic bronchoscopy for a 69-year-old man presenting with limited mouth opening and neck movement. Awake nasotracheal intubation was performed under conscious sedation with propofol and fentanyl. After positioning the tip of the EndoFlex® tube in the oropharynx, the fiberoptic bronchoscope was inserted into the tube until the tip reached the bevel of the tube. Anterior flexion of the distal tip of the EndoFlex® tube facilitated uncomplicated insertion of the tube into the trachea without impingement on the arytenoids. Fiberoptic visualization confirmed that the distal-tip flexing mechanism of the EndoFlex® tube corrected the direction of the tube tip anteriorly, allowing entry into the trachea. We present a case where this technique proved valuable for tracheal intubation in a patient with limitations of mouth opening and neck movement. [source] Development of the cypriniform protrusible jaw complex in Danio rerio: Constructional insights for evolutionJOURNAL OF MORPHOLOGY, Issue 7 2010Katie Lynn Staab Abstract Studies on the evolution of complex biological systems are difficult because the construction of these traits cannot be observed during the course of evolution. Complex traits are defined as consisting of multiple elements, often of differing embryological origins, with multiple linkages integrated to form a single functional unit. An example of a complex system is the cypriniform oral jaw apparatus. Cypriniform fishes possess an upper jaw characterized by premaxillary protrusion during feeding. Cypriniforms effect protrusion via the kinethmoid, a synapomorphy for the order. The kinethmoid is a sesamoid ossification suspended by ligaments attaching to the premaxillae, maxillae, palatines, and neurocranium. Upon mouth opening, the kinethmoid rotates as the premaxillae move anteriorly. Along with bony and ligamentous elements, there are three divisions of the adductor mandibulae that render this system functional. It is unclear how cypriniform jaws evolved because although the evolution of sesamoid elements is common, the incorporation of the kinethmoid into the protrusible jaw results in a function that is atypical for sesamoids. Developmental studies can show how biological systems are assembled within individuals and offer clues about how traits might have been constructed during evolution. We investigated the development of the protrusible upper jaw in zebrafish to generate hypotheses regarding the evolution of this character. Early in development, the adductor mandibulae arises as a single unit. The muscle divides after ossification of the maxillae, on which the A1 division will ultimately insert. A cartilaginous kinethmoid first develops within the intermaxillary ligament; it later ossifies at points of ligamentous attachment. We combine our structural developmental data with published kinematic data at key developmental stages and discuss potential functional advantages in possessing even the earliest stages of a system for protrusion. J. Morphol. 2010. © 2010 Wiley-Liss, Inc. [source] Odontocete suction feeding: Experimental analysis of water flow and head shapeJOURNAL OF MORPHOLOGY, Issue 12 2006Alexander J. WerthArticle first published online: 13 NOV 200 Abstract The role of cranial morphology in the generation of intraoral and oropharyngeal suction pressures in odontocetes was investigated by manipulating the jaw and hyolingual apparatus of submerged heads of three species presenting varied shapes. Hyoid and gular muscles were manually employed to depress and retract the tongue. Pressures were recorded at three locations in the oral cavity, as gape and site, speed, and force of pull were varied. A biomechanical model was also developed to evaluate pressure data. The species with the shortest, bluntest head and smallest mouth opening generated greater negative pressures. Suction generation diminished sharply as gape increased. Greatest negative pressures attained were around ,45 mmHg (,6,000 Pa), a magnitude deemed suitable for capture of small live prey. Odontocetes utilizing this bidirectional flow system should profit by evolution of a rounder mouth opening through progressive shortening and widening of the rostrum and jaws, a trend evident in cranial measurements from fossil and recent odontocetes. Blunt heads correlate with anatomical, ecological, and behavioral traits associated with suction feeding. Small-gape suction (with minimally opened jaws) could be used by odontocetes of all head and oral shapes to draw prey sufficiently close to the mouth for suction ingestion or grasping via dentition. Principal limitations of the experimental and mathematical simulations include assumption of a stationary odontocete with static (open or closed) jaws and potential scaling issues with differently sized heads and gapes. J. Morphol., 2006. © 2006 Wiley-Liss, Inc. [source] Oral submucous fibrosis: study of 1000 cases from central IndiaJOURNAL OF ORAL PATHOLOGY & MEDICINE, Issue 1 2007V. K. Hazarey Background:, Very few reports have been published on the gender specificity of oral submucous fibrosis (OSF) in relation to habit patterns and the severity of disease in the world literature. The purpose of the study was to ascertain the gender specificity for different habits and severity of OSF. Methods:, A hospital-based cross-sectional study on various habit patterns associated with OSF was performed in Nagpur over a 5-year period. A total of 1000 OSF cases from 266 418 out patients comprised the study sample. Results:, The male-to-female ratio of OSF was 4.9:1. Occurrence of OSF was at a significant younger age group (<30 years) among men when compared with women (OR = 4.62, 3.22,6.63, P = 0.0001). Reduced mouth opening, altered salivation and altered taste sensation were found to be significantly more prevalent in women when compared with men. Exclusive areca nut chewing habit was significantly more prevalent in women (OR = 44.5, 25.4,79.8, P = 0.0001). Whereas significant increase for Gutkha (Areca quid with tobacco) (OR = 2.33, 1.56,3.54, P = 0.0001) and kharra/Mawa (crude combination of areca nut and tobacco) (OR = 6.8, 4.36,11.06, P = 0.0001) chewing was found in men when compared with women. Conclusions:, There is a marked difference in literacy, socioeconomic status, areca nut chewing habits, symptoms and disease severity in women when compared with men in the central Indian population. [source] Interferon gamma (IFN-,) may reverse oral submucous fibrosisJOURNAL OF ORAL PATHOLOGY & MEDICINE, Issue 1 2001M. F. Haque Abstract: Oral submucous fibrosis (OSF) is a chronic disease of the oral cavity and oropharyngx characterised by fibrosis in the submucosa leading to progressive limitation of the mouth opening. Interferon gamma (IFN-,) is a known anti-fibrotic cytokine. In this study we have investigated: a) the effect of IFN-, on collagen synthesis by arecoline-stimulated OSF fibroblasts in vitro (n=5), b) the effect of intra-lesional IFN-, on the fibrosis of OSF patients (n=29) and c) the immunohistochemical analysis of pre- and post-treatment inflammatory cell infiltrates and cytokine levels in the lesional tissue (n=29). The results show that the increased collagen synthesis in vitro in response to arecoline was inhibited in the presence of IFN-, (0.01,10.0 U/ml) in a dose-related way. In an open uncontrolled study intra-lesional IFN-, treatment showed improvement in the patients mouth opening from an inter-incisal distance before treatment of 21±7 mm, to 30±7 mm immediately after treatment and 30±8 mm 6-months later, giving a net gain of 8±4 mm (42%) (range 4,15 mm). Patients also reported reduced burning dysaesthesia and increased suppleness of the buccal mucosa. The post-treatment immunohistochemistry showed a decreased amount of inflammatory cell infiltrate and an altered level of cytokines compared with the pre-treatment lesional tissue. The effect of IFN-, on collagen synthesis appears to be a key to the treatment of these patients, and intra-lesional injections of the cytokine may have a significant therapeutic effect on OSF. [source] Prevalence of temporomandibular disorder signs in patients with schizophreniaJOURNAL OF ORAL REHABILITATION, Issue 12 2009O. GURBUZ Summary, The aim of this study was to determine the prevalence of temporomandibular disorder (TMD) signs in a group of institutionalized patients with schizophrenia. Three hundred thirty-nine patients with schizophrenia were examined and compared with 107 age-matched and gender-matched control subjects. TMD signs were evaluated according to the Research Diagnostic Criteria to assess temporomandibular joint pain to palpation, limitation of maximum mouth opening, alteration of mouth opening pathway (deviation/deflection) and temporomandibular joint noises. In addition, tooth wear was recorded for the assessment of bruxism. The prevalence of any TMD signs was observed higher (P = 0·001) in the patients with schizophrenia (284/339, 83·7%) than in the controls (72/107, 67·3%). The prevalence of more than one TMD sign was also significantly higher (P = 0·03) in the patients with schizophrenia (131/339, 38·6%) than in the controls (29/107, 27·1%). Significant differences between the two groups were apparent for joint pain on palpation (P = 0·006), deflection (P = 0·006) and joint sounds (P = 0·002). Severe tooth wear was evident in 39·2% of the patients with schizophrenia compared with 21·2% in the control group (P = 0·001). The finding of the present study showed that, compared to control population, chronically hospitalized patients with schizophrenia seem to be more prone to the development of TMD signs and severe tooth wear and bruxism. [source] The effects of manual therapy and exercise directed at the cervical spine on pain and pressure pain sensitivity in patients with myofascial temporomandibular disordersJOURNAL OF ORAL REHABILITATION, Issue 9 2009R. LA TOUCHE Summary, No studies have investigated the effects of the treatments directed at the cervical spine in patients with temporomandibular disorders (TMD). Our aim was to investigate the effects of joint mobilization and exercise directed at the cervical spine on pain intensity and pressure pain sensitivity in the muscles of mastication in patients with TMD. Nineteen patients (14 females), aged 19,57 years, with myofascial TMD were included. All patients received a total of 10 treatment session over a 5-week period (twice per week). Treatment included manual therapy techniques and exercise directed at the cervical spine. Outcome measures included bilateral pressure pain threshold (PPT) levels over the masseter and temporalis muscles, active pain-free mouth opening (mm) and pain (Visual Analogue Scale) and were all assessed pre-intervention, 48 h after the last treatment (post-intervention) and at 12-week follow-up period. Mixed-model anovas were used to examine the effects of the intervention on each outcome measure. Within-group effect sizes were calculated in order to assess clinical effect. The 2 × 3 mixed model anova revealed significant effect for time (F = 77·8; P < 0·001) but not for side (F = 0·2; P = 0·7) for changes in PPT over the masseter muscle and over the temporalis muscle (time: F = 66·8; P < 0·001; side: F = 0·07; P = 0·8). Post hoc revealed significant differences between pre-intervention and both post-intervention and follow-up periods (P < 0·001) but not between post-intervention and follow-up period (P = 0·9) for both muscles. Within-group effect sizes were large (d > 1·0) for both follow-up periods in both muscles. The anova found a significant effect for time (F = 78·6; P < 0·001) for changes in pain intensity and active pain-free mouth opening (F = 17·1; P < 0·001). Significant differences were found between pre-intervention and both post-intervention and follow-up periods (P < 0·001) but not between the post-intervention and follow-up period (P > 0·7). Within-group effect sizes were large (d > 0·8) for both post-intervention and follow-up periods. The application of treatment directed at the cervical spine may be beneficial in decreasing pain intensity, increasing PPTs over the masticatory muscles and an increasing pain-free mouth opening in patients with myofascial TMD. [source] Contingent negative variation elicited before jaw and tongue movementsJOURNAL OF ORAL REHABILITATION, Issue 12 2005K. YOSHIDA summary, Contingent negative variation (CNV) is a negative brain potential occurring between two successive stimuli when the first stimulus is a warning and the second stimulus requires a motor response. The CNV is interpreted as an expression of the cognitive processes in preparation for a response directed to a purpose. Using 19 electrodes we recorded CNVs for mouth opening, closing and lateral movements, tongue protrusion and hand extension in 10 healthy subjects. The aim of the study was to examine the motor control mechanism underlying jaw and tongue movements in a cognitive paradigm. The first stimulus (S1) served as a preparatory warning signal for the imperative stimulus (S2) 2 s after the S1. The subject performed the experimental tasks after the S2. The grand average CNVs for jaw and tongue movements showed a bilaterally widespread negativity with the maximum in the vertex region (Cz). The early CNV was identified about 400 ms after the S1 and its amplitude was highest at the midline-frontal area. The late CNV started approximately 1000 ms after the S1 with the maximum at Cz. The mean amplitude was significantly lower for hand extension than for the other tasks, and significantly higher for lateral movement than for mouth closing, suggesting that the CNV amplitude can be affected by the complexity of the task. The CNV recording may provide a means to study the neuronal activity necessary for the sensorimotor integration of jaw and tongue movements. [source] Clinical and radiological follow-up results of patients with untreated TMJ closed lockJOURNAL OF ORAL REHABILITATION, Issue 5 2005P. IMIRZALIOGLU summary, The purpose of this study was to compare clinical and radiological findings of untreated closed lock patients at least 22 months after initial diagnosis. Ten patients with closed lock in at least one joint who had received no treatment were included in the study. Clinically maximum mouth opening, joint pain and joint sounds were recorded. Radiologically position of the disc, disc morphology, bone degeneration and presence of fluid were determined on magnetic resonance imaging. Clinical and radiological examinations were repeated 2,5 years after initial examinations. Results were statistically compared using either the non-parametric McNemar test or the Wilcoxon signed-rank test. There were significant improvements in both mouth opening capacity and prevalence of joint pain, while no significant change in radiological examination. The results of this study suggested that closed lock patients undergo active adaptation in clinical symptoms. [source] Association of dietary habits with symptoms of temporomandibular disorders in Bangladeshi adolescentsJOURNAL OF ORAL REHABILITATION, Issue 8 2004R. Akhter summary, The prevalences of signs and symptoms of temporomandibular disorder (TMD) in Bangladeshi adolescents and their associations with intake of various hard food items were investigated. A group of 1200 randomly selected high school students aged 12,17 years from three communities (rural, semi-urban and urban) completed a questionnaire on dietary habits and presence of TMD symptoms and were examined clinically. In bivariate analysis, no significant relationship was observed between TMD symptoms and eating of hard foods. However, in logistic regression analysis, clicking showed a significant correlation with consumption of hard vegetable and fruits more than three times per week (P < 0·05). A statistically significant correlation was also observed between consumption of all hard food items (at least one item in each of the four categories of hard food) more than 12 times per week and pain in the temporomandibular joint (TMJ) (P < 0·05). A positive association was found between pain in the TMJ and older age (15,17 years) (P < 0·001). The prevalence of pain in the TMJ was significantly higher in males (P < 0·01). Prevalences of clicking and pain in the TMJ were significantly higher in subjects living in a rural area than in subjects living in an urban area (P < 0·01 and P < 0·01, respectively). Subjects having one or more decayed, missing and filled teeth (DMFT) showed significantly higher prevalences of clicking (P < 0·01) and restricted mouth opening (P < 0·01). The results suggest that prevalence of TMD symptoms are related to prolonged consumption of hard food items. [source] Oral parafunctions and association with symptoms of temporomandibular disorders in Japanese university studentsJOURNAL OF ORAL REHABILITATION, Issue 6 2004R. Miyake summary, We examined whether oral parafunctions are associated with symptoms of temporomandibular disorders (TMD) in 3557 Japanese university students, aged between 18 and 26 years. Participants completed a questionnaire regarding various oral parafunctions and subjective symptoms related to TMD, and underwent a dental examination. The prevalence of temporomandibular joint (TMJ) noise, TMJ pain and impaired mouth opening was 41·7, 16·0 and 16·3%, respectively. The most prevalent parafunction was sleeping on one side (60·2%), followed by supporting the jaw by leaning on the palm of the hand (44·8%). Mean age, decayed, missing and filled teeth, and number of teeth were not significantly different between TMD positive and negative groups according to unpaired t -test. The chi-squared test revealed that the ratio of females was significantly higher among students with TMD than without TMD. Multiple logistic regression models adjusted for age and gender demonstrated that chewing on one side caused an increased risk of TMJ noise [odds ratio (OR) = 1·52, P < 0·001], TMJ pain (OR = 1·54, P < 0·001), and impaired mouth opening (OR = 2·00, P < 0·001). Tooth clenching also increased the risk of TMJ noise (OR = 1·86, P < 0·001), TMJ pain (OR = 1·79, P = 0·001) and impaired mouth opening (OR = 1·88, P < 0·001). Further prospective cohort studies, including other potential risk factors, are required to clarify these relationships. [source] Symptoms and signs of temporomandibular disorders and oral parafunctions among Saudi childrenJOURNAL OF ORAL REHABILITATION, Issue 12 2003N. M. A. Farsi summary, This study aimed to record the prevalence of signs and symptoms of temporomandibular disorders (TMD) and oral parafunctions among Saudi children. A questionnaire and a clinical examination of signs and symptoms of TMD were performed on 1940 stratified randomly selected schoolchildren. The sample was divided into three groups, 505 with primary, 737 with mixed and 734 with permanent dentition. The prevalence of TMD signs was found to be 20·7% and the most common sign of TMD was joint sounds (11·8%). The second most common sign was restricted mouth opening (5·3%). Muscle and temporomandibular joint (TMJ) pain as well as deviation upon jaw opening appeared infrequently. TMJ sounds were significantly increasing with age (P < 0·05). TMD symptoms as reported by the parents were evident in 24·2% of the returned questionnaires (1113). The most common symptoms were headache (13·6%) and pain on chewing (11·1%). The incidence of headache was found to be significantly increasing from primary to permanent dentition (P < 0·01). No sex difference in the prevalence of any symptom was reported. Nail biting was the most common oral parafunction (27·7%) while bruxism was the least common (8·4%). All parafunctions except bruxism were significantly related to age. Cheek biting and thumb sucking were reported more in females than in males. The importance of a screening examination for symptoms and signs of TMD should not be overlooked in the clinical assessment of the pediatric patient. [source] Effectiveness of exercise therapy in patients with internal derangement of the temporomandibular jointJOURNAL OF ORAL REHABILITATION, Issue 12 2001P. Nicolakis This study intended in evaluating the effectiveness of exercise therapy in patients with craniomandibular disorders (CMD). Twenty consecutive patients suffering from CMD with anterior disc displacement without reduction consulting a CMD service were included in the study if they met following criteria: (i) pain in the temporomandibular region, (ii) reduced incisal edge clearance (<35 mm), (iii) magnet resonance imaging confirmed anterior disc displacement without reduction and (iv) evidence of postural dysfunction. All patients were assigned to a waiting list, serving as a no-treatment control period, according to a before,after trial. The treatment consisted of active and passive jaw movement exercises, correction of body posture and relaxation techniques. A total of 18 patients completed the study, no adverse effects occurred. Following main outcome measures were evaluated: (1) pain at rest (2) pain at stress (3) impairment (4) mouth opening at base-line, before and after treatment and at 6 month follow-up. As a result of treatment pain, impairment and mouth opening improved significantly more than during control period (paired samples t -test P < 0·05). After treatment four patients had no pain at all (chi-square: P < 0·05) and only seven patients revealed an impaired incisal edge clearance after treatment. (chi-square Test, P < 0·001). At follow up, seven patients had no pain and experienced no impairment. Exercise therapy seems to be useful in the treatment of anterior disc displacement without reduction. [source] Towards a phylogenetic classification of dendrocoelid freshwater planarians (Platyhelminthes): a morphological and eclectic approachJOURNAL OF ZOOLOGICAL SYSTEMATICS AND EVOLUTIONARY RESEARCH, Issue 4 2006R. Sluys Abstract We explore and review the taxonomic distribution of morphological features that may be used as supporting apomorphies for the monophyletic status of various taxa in future, more comprehensive phylogenetic analyses of the dendrocoelid freshwater planarians and their close relatives. Characters examined are: (i) musculature of the pharynx; (ii) anatomy of the eye; (iii) distribution of testis follicles along the longitudinal axis of the body; (iv) epidermis of the body wall; (v) musculature of the ventral body wall; (vi) presence or absence of a penis papilla; (vii) position of the mouth opening; and (viii) anterior adhesive organ. A phylogenetic hypothesis, in the form of a character state tree, is developed. This hypothesis suggests that the Kenkiidae should be resurrected as a separate family, sharing a sistergroup relationship with the Dendrocoelidae. This sistergroup relationship is supported by the shared presence of an apomorphic anterior adhesive organ. Although the shape of the anterior adhesive organ, both within and between kenkiids and dendrocoelids, may differ considerably between species, they are all constructed according to the same principles. The monophyly of the Kenkiidae is supported by the presence of an apomorphic thickening of the marginal zone of the epidermis and presumably also by the presence of prepharyngeal testes. Within the Kenkiidae, the genus Macrocotyla should be considered as a junior synonym of Kenkia, which is characterized by the presence of an apomorphic ,planariid pharynx-type 2'. The monophyly of the Dendrocoelidae is suggested by the presence of a dendrocoelid type of pharynx. It is shown that multicellular eye cups with numerous photoreceptor cells are not restricted to the Dugesiidae and the Terricola but are also characteristic for the Dendrocoelidae; the phylogenetic implications of this character state distribution are discussed. It is pointed out that in planarians there may be a relationship between: (i) body size, the size of an eye cup and the number of its constituent pigment cells; and (ii) the size of an eye cup and the number of photoreceptor cells that it contains. Some tentative phylogenetic groups are suggested on the basis of the following presumed apomorphic characters: presence of transverse fibres in the ventral subepidermal musculature, presence of an extra longitudinal muscle layer in the outer pharynx musculature, a mouth opening that has shifted anteriad. It is suggested that the presumed monophyly of the genus Bdellocephala is supported by the apomorphic absence of a penis papilla, combined with a penial lumen provided with many plicae. Zusammenfassung Wir untersuchen und begutachten die taxonomische Verbreitung morphologischer Merkmale, die man als Apomorphien für die Monophylie verschiedener Taxa in einer zukünftigen umfangreicheren phylogenetischen Analyse der Dendrocoeliden und ihrer nächsten Verwandten heranziehen könnte. Zu diesen untersuchten Merkmalen gehören die Pharynxmuskulatur, die Augen-Anatomie, die Anordnung der Hodenfollikel entlang der Längsachse des Körpers, die Epidermis, die Muskulatur der ventralen Körperwand, das Vorhandensein oder Fehlen einer Penispapille, die Lage der Mundöffnung sowie des vorderen Hartorgans. Eine phylogenetische Hypothese wurde als character state-Stammbaum entwickelt. Hierin wird vorgeschlagen, die Kenkiidae wieder als eigenständige Familie und als Schwestergruppe der Dendrocoelidae zu betrachten. Dieses Schwestergruppen-Verhältnis wird durch den gemeinsamen Besitz eines apomorphen vorderen Haftorgans gestützt. Obwohl sich die Form dieses Organs sowohl innerhalb als auch zwischen Kenkiiden und Dendrocoeliden beträchtlich zwischen den Arten unterscheiden kann, ist es grundsätzlich gleich aufgebaut. Die Monophylie der Kenkiidae wird durch eine als apomorph betrachtete Verdickung des Epidermisrandes und durch das Auftreten praepharyngealer Hoden gestützt. Innerhalb der Kenkiidae sollte die Gattung Macrocotyla als Juniorsynonym von Kenkia angesehen werden, die durch den apomorphen Planarien-Pharynx-Typ 2 charakterisiert ist. Als Beleg für die Monophylie der Dendrocoelidae wird der Dendrocoeliden-Pharynx-Typ vorgeschlagen. Es wird gezeigt, dass vielzellige Augenbecher mit zahlreichen Photorezeptorzellen nicht auf die Dugesiidae und die Terricola beschränkt, sondern auch für die Dendrocoelidae charakteristisch sind; die phylogenetische Bedeutung dieser Merkmalsverteilung wird diskutiert. Es wird hervorgehoben, dass es in den Planarien wahrscheinlich eine Beziehung zwischen (i) Körpergröße, Größe der Augenbecher und Zahl der Photorezeptorzellen ebenso wie (ii) der Größe eines Augenbechers und der Zahl seiner Photorezeptorzellen gibt. Versuchsweise werden einige phylogenetische Gruppierungen auf der Basis der folgenden vermutlich apomorphen Merkmale vorgeschlagen: Vorhandensein transversaler Fasern in der ventralen subepidermalen Muskulatur, Auftreten einer zusätzlichen Längsmuskelschicht in der äußeren Pharynxmuskulatur und eine nach vorn verschobene Mundöffnung. Es wird weiterhin vorgeschlagen, die vermutete Monophylie der Gattung Bdellocephala durch das Fehlen einer Penispapille als Autapomorphie zu stützen, zusammen mit dem Merkmal eines durch viele Falten gekennzeichneten Penislumens. [source] Mandibular reconstruction after resection of benign tumours using non-vascularised methods in a series of patients that did not undergo radiotherapyORAL SURGERY, Issue 1 2009D. Mehrotra Abstract Aim:, A case series analysis of 52 consequent subjects of immediate mandibular reconstruction after tumour resection using non-vascularised methods, undertaken at U.P. King George's University of Dental Sciences and King George's Medical University, is being reported. To assess the success of reconstruction on subjective and objective evaluation based upon Mandibular Reconstruction Assessment Scale (MRAS) questionnaire. Methods:, Patients with benign mandibular tumours irrespective of age, sex, site and socio-economic status were included. Primary reconstruction was carried out after resection in two surgical units on surgeon's choice using stainless steel wire (6/52; 12%), stainless steel reconstruction plate (10/52; 19%) or titanium reconstruction plate (36/52; 69%) without bone graft (23/52; 44%) or with bone graft (29/52; 56%). Bone grafts were harvested from iliac crest (21/52; 40%), rib (2/52; 4%) and an additional pectoralis major myocutaneous flap with iliac crest bone graft (6/52; 12%) to provide cover to the reconstruction plate was also used. Results:, The primary outcome measurements were wound healing, mouth opening, chewing efficiency, jaw movements, cosmetic achievement and speech on a five-point scale, all of which improved significantly after surgery. The overall complication rate was 17%. Three patients (6%) had loosening of the screw, two (4%) showed dehiscence of the plate, two (4%) showed tumour recurrence and one (2%) had infection of the graft that was subsequently removed. Conclusion:, Titanium reconstruction plates with iliac crest graft provided good result in the absence of microvascular reconstruction because of unavailable long operating time and lack of expertise. Long-term satisfactory rehabilitation can be achieved using removable dentures or prosthesis on dental implants on the contraption provided by the non-vascularised tissue despite non-calcified bone visible on the skiagram. [source] Early Onset Childhood Cicatricial Pemphigoid: A Case Report and Review of the LiteraturePEDIATRIC DERMATOLOGY, Issue 2 2010Monia Kharfi M.D. We describe a new case in a 20-month-old boy, who is to our knowledge the youngest patient reported yet. The disorder had begun 10 months before he was referred to our department by mucosal crusted erosions of the oral and nasal cavities and conjunctivae. Cutaneous examination showed buccal erosions with limited mouth opening, entropion of the lower eyelids, trichiasis, cicatricial cornea, synechia of the nasal cavities and hypopigmented lesions of the abdomen. There were no anal or genital lesions. Cicatricial pemphigoid was confirmed by positive direct and indirect immunofluorescence on mucous biopsy. Systemic corticosteroids (2 mg/kg/day), maintained for 12 months, had led to complete healing of lesions. But due to cicatrization, synechia of the nasal cavities and corneal opacities, leading to a dramatic visual loss, have occurred. Dapsone 25 mg/day and topical ocular cyclosporine are now maintained to avoid relapse. Our review of the literature of all cases of CP showed that ocular and to a less degree, vulvar lesions are the most severe ones, due to the serious complications with scar formation. [source] Variation and context of yawns in captive chimpanzees (Pan troglodytes)AMERICAN JOURNAL OF PRIMATOLOGY, Issue 3 2010Sarah-Jane Vick Abstract Primate yawns are usually categorized according to context (e.g. as a threat, anxious, or rest yawn), but there has been little consideration of whether these yawns are best regarded as a unitary behavior that only differs with respect to the context in which it is observed. This study examined the context and precise morphology of yawns in a group of 11 captive chimpanzees. Focal video sampling was used to describe the morphology and intensity of 124 yawns using ChimpFACS, a system for coding facial movements. Two distinct forms of yawn were identified, a full yawn and a yawn which is modified by additional actions that reduce the mouth aperture. These modified yawns may indicate some degree of voluntary control over facial movement in chimpanzees and, consequently, multiple functions of yawning according to context. To assess context effects, mean activity levels (resting, locomotion, and grooming) and scratching rates were compared one minute before and after each yawn. Locomotion was significantly increased following both types of yawn, whereas scratching rates significantly increased following modified yawns but decreased following full yawns. In terms of individual differences, males did not yawn more than females, although male yawns were of higher intensity, both in the degree of mouth opening and in the amount of associated head movement. These data indicate that yawning is associated with a change in activity levels in chimpanzees, but only modified yawns may be related to increased arousal. Different types of yawn can therefore be differentiated at the morphological level as well as context level. Am. J. Primatol. 72:262,269, 2010. © 2009 Wiley-Liss, Inc. [source] Dental implant removal to facilitate suspension laryngoscopy and laser treatment of an obstructed airwayANAESTHESIA, Issue 1 2010H. Hume-Smith Summary A 29-year-old patient presented with dysphonia, dysphagia and a progressive history of stridor over 6 weeks. His past medical history included childhood nasolabial rhabdomyosarcoma treated by surgery, chemotherapy and radiotherapy. This had resulted in marked abnormalities of the facial skeleton, limited neck extension and restricted mouth opening of 1 cm, in part due to dental implants. After careful discussion and planning within a multidisciplinary team, the airway was optimised by temporary removal of the dental implants. This enabled a suspension laryngoscope to be passed, permitting carbon dioxide laser treatment to an obstruction at the laryngeal inlet and eliminating the need for a tracheostomy. [source] Use of a gum elastic bougie to facilitate blind nasotracheal intubation in children: a series of three casesANAESTHESIA, Issue 3 2006M. K. Arora Summary Management of a difficult paediatric airway is challenging, and the unavailability of a paediatric fibreoptic bronchoscope, a common limitation in developing countries, adds to these difficulties. Children with bilateral temporomandibular joint ankylosis have limited mouth opening and therefore direct laryngoscopy and intubation is not usually possible. In the absence of sophisticated fibreoptic equipment, blind nasal intubation remains the only non-surgical option for control of the airway. Blind nasal intubation in paediatric anaesthesia is difficult. We describe a novel method of blind nasal intubation in paediatric patients using a gum elastic bougie. We have used this method successfully in three patients in whom tracheal intubation using a conventional blind nasal approach was unsuccessful. In view of its reliability and the absence of any soft tissue injury, we propose the use of this novel technique as an alternative to conventional blind nasal intubation, when more sophisticated fibreoptic equipment is not available. [source] A comparison of the intubating laryngeal mask airway and the Bonfils intubation fibrescope in patients with predicted difficult airways,ANAESTHESIA, Issue 7 2004B. Bein Summary Tracheal intubation with the intubating laryngeal mask airway or the Bonfils intubation fibrescope was performed in 80 patients with predicted difficult airways. Mallampati score, thyromental distance, mouth opening and mobility of the atlanto-occipital joint were used to predict difficult airways. The overall success rate, time to the first adequate lung ventilation and time taken for the successful placement of the tracheal tube were recorded, as well as a subjective assessment of the handling of the device and the incidence of postoperative sore throat and hoarseness. The median [range] time to the first adequate ventilation was significantly shorter with the intubating laryngeal mask airway than with the Bonfils intubation fibrescope (28 [6,85] s vs. 40 [23,77] s, p < 0.005). Tracheal intubation was significantly slower with the intubating laryngeal mask airway than with the Bonfils intubation fibrescope (76 [45,155] s vs. 40 [23,77] s, p < 0.0001. Patients in the Bonfils group suffered less sore throat and hoarseness than those in the other group. [source] Senegalese sole larvae growth and protein utilization is depressed when co-fed high levels of inert diet and Artemia since first feedingAQUACULTURE NUTRITION, Issue 5 2010S. ENGROLA Abstract A large effort has been dedicated in the past years to the development of nutritional balanced inert diets for marine fish larvae in order to suppress the nutritional deficiencies of live feed. In this study growth performance, Artemia intake, protein digestibility and protein retention were measured for Senegalese sole (Solea senegalensis Kaup), in order to provide insight into how protein utilization affects growth performance. Three feeding regimes were tested: ST , standard live feed; ArtRL , live feed and 20%Artemia replacement with inert diet (dry matter basis) from mouth opening; ArtRH , live feed and 58%Artemia replacement with inert diet from mouth opening. Artemia intake and protein metabolism were determined at 6, 15 and 21 days after hatching using 14C-labelled Artemia protein and subsequent incubation in metabolic chambers. At the end of the experiment, sole fed exclusively with live feed were significantly larger than sole from Artemia replacement treatments. Protein digestibility decreased during sole ontogeny, and more sharply in ArtRH sole. Concomitantly retention efficiency increased during ontogeny but with a slight delay in ArtRH sole. Senegalese sole larvae growth and protein utilization is depressed when co-fed high levels of inert diet and Artemia, mostly during metamorphosis climax. [source] Early development of the silver catfish Rhamdia quelen (Quoy & Gaimard, 1824) (Pisces:Heptapteridae) from the São Francisco River Basin, BrazilAQUACULTURE RESEARCH, Issue 2 2009Marcelo Pimenta De Amorim Abstract The silver catfish, Rhamdia quelen, is endemic to North, Central and South America with high aquaculture potential and wide acceptance in the market. Breeder fish were subjected to induced reproduction through hypophysation using a crude common carp pituitary extract. Egg characteristics, oocyte surface ultrastructure and histology of larval ontogenesis until whole yolk resorption were described for the first time for this species. Oocytes and semen were obtained by manual extrusion, and fertilization was conducted using the dry method. After fertilization, eggs were kept in incubators at 24 °C. The embryonic development was monitored using a stereomicroscope every 10 min until hatching. To analyse the larval development, larvae samples were collected from incubators daily until the fifth day, fixed in Bouin's fluid and subjected to routine histological techniques. The oocyte extrusion occurred 8 h after the second hormone dose at 26 °C. The oocytes were spherical, non-adhesive and yellow, with a diameter of 1471.75±47.63 ,m. Scanning electron microscopy revealed a thin jelly coat covering the zona radiata in the animal pole around the micropyle. The blastopore closure occurred within 8 h after fertilization, and the fertilization rate was 79.9±5.2% at 24 °C. Embryonic development was completed within 25 h 30 min after fertilization. The complete resorption of the yolk and the formation of the digestive system organs and the mouth opening occurred on the fifth day, indicating a need for exogenous feeding. The results of this study provide information important for improvement in R. quelen culture and management. [source] Donor-site morbidity in buccal mucosa urethroplasty: lower lip or inner cheek?BJU INTERNATIONAL, Issue 4 2005Stefan Kamp Authors from Germany debate the issue as to whether the donor site for oral mucosa used in urethroplasty should be taken from the inner cheek or the lower lip, using morbidity as a deciding factor. As a result of their study they have changed their technique, now using the inner cheek as the donor site whenever possible. OBJECTIVE To evaluate donor-site complications of buccal mucosa urethroplasty and whether there is a difference in morbidity between harvesting the mucosa graft from the inner cheek or the lower lip. PATIENTS AND METHODS Twenty-four consecutive patients with recurrent urethral strictures were treated with buccal mucosa urethroplasty in our department between September 2002 and April 2004. In 12 patients the graft was harvested from the lower lip or cheek and lower lip (group 1), and in 12 patients from the cheek (group 2). The mean (range) age of patients was 51 (26,66) years in group 1 and 53 (32,75) years in group 2. The mean (range) graft length was 6.2 (2,16) cm in group 1 and 5.7 (2,13) cm in group 2. All patients were followed up using a mailed questionnaire that asked about pain, numbness, difficulties in mouth opening or ingestion, and satisfaction, monthly for the first 3 months and then every 6 months. The mean (range) follow-up was 12.5 (6,23) months. RESULTS There were no bleeding complications or disturbances in wound healing. All of the patients reported numbness in the area of the mental and buccal nerves, and graft-site tenderness after surgery. In group 1, the pain lasted for a mean (range) of 5.9 (0.5,22) months, compared to 1 (0.1,7) months in group 2 (P = 0.022). Perioral numbness lasted for a mean (range) of 10.3 (0.5,23) months in group 1 and 0.85 (0.1,3) months (P = 0.0027) in group 2. There were no statistically significant differences in problems with mouth opening or food intake between the two groups, but the patients in group 1 seemed to be less satisfied (6/12 patients satisfied) than those in group 2 (11/12 patients satisfied). CONCLUSIONS Buccal mucosa graft harvesting from the lower lip and the inner cheek are both feasible, but harvesting from the lower lip resulted in a significantly greater long-term morbidity, which resulted in a lower proportion of satisfied patients. This seems to be due to a long-lasting neuropathy of the mental nerve. We therefore have changed our technique entirely from lower lip to inner cheek graft harvesting, whenever possible. [source] | ||||||||||||||||