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Fissure
Kinds of Fissure Terms modified by Fissure Selected AbstractsThe Management of Anal Fissure: ACPGBI Position StatementCOLORECTAL DISEASE, Issue 2008K. L. R. Cross First page of article [source] Anal Fissure; surgery is the most effective treatmentCOLORECTAL DISEASE, Issue 6 2008John Nicholls No abstract is available for this article. [source] Palmoplantar hyperkeratosis in Irish terriers: evidence of autosomal recessive inheritanceJOURNAL OF SMALL ANIMAL PRACTICE, Issue 2 2000H. Binder An abnormal development of the epidermis of the footpad was observed in Irish terriers. At the age of six months, the affected animals developed smooth parchment-like footpads. The pad epidermis then hardened and grew lateral cone-like protrusions of up to 5 mm in diameter. Fissures and cracks developed and these predisposed the animal to secondary infection. The repeated occurrence in subsequent generations led to the assumption of a hereditary form of hyperkeratosis. Evidence for an autosomal recessive mode of inheritance was derived from a retrospective analysis of the breeder's records. The clinical, histopathological and ultrastructural features of the disease are presented and the genetic transmission and its implications discussed. [source] Pits and Fissures: Etch Resistance in Prismless Enamel WallsAUSTRALIAN DENTAL JOURNAL, Issue 4 2001MF Burrow Background: In a previous study to examine the nature of etching on the walls of fissures, there was a consistent result of resistance to deep etching on parts of the walls and a zone of lesser etching on part of the walls as evidenced by the uptake of stain. The staining had been used to examine the nature of the etch pattern. The aims of this study were to define the nature of this etch resistant area. Methods: A sample of 55 teeth, both molars and premolars, were divided into three groups. In the first group the wetting of fissures by the etchant was examined; the second group tested for the effects of pellicle-cuticle-debris or air entrapment on the etching process. The final group looked at alternative mechanical treatments of the fissure prior to etching. Results: The specimens split along the fissures showed clearly that the etch resistant zone was not due to lack of contact with the etchant or the presence of a pellicle-cuticle-debris covering, but to the presence of a prismless enamel structure. This study showed that this zone inhibited tag development on the fissure walls. Conclusions: The mechanical removal of this prismless layer of enamel within the fissure system should result in an improved bonding of a fissure sealant through better tag development, in turn leading to a reduction in the failure rate of a sealant used to prevent caries. [source] Disruption of brain development in male rats exposed prenatally to 5-bromo-2,-deoxyuridineCONGENITAL ANOMALIES, Issue 4 2001Makiko Kuwagata ABSTRACT, Sprague-Dawley rats were treated intraperitoneally with 5-bromo-2,-deoxyuridine (BrdU) at 0,12.5 or 50 mg/kg/day on days 9 through 15 of gestation to evaluate the effects on development of the brain of offspring. Prenatal exposure to BrdU induced abnormal development of the brain; dilatation of the lateral ventricles in male offspring in the postnatal period. The ratio of the length of the longitudinal fissure to that of the cerebral cortex decreased in a dose-dependent manner in the embryonic period and thereafter. In 14-week-old male offspring exposed prenatally to BrdU at 50 mg/kg, the cortex layer of the cerebrum was thinner than that of the controls. Masculine sexual behavior was markedly impaired and the volume of the sexually dimorphic nucleus of the preoptic area (SDN-POA) was decreased in the 50 mg/kg group as compared with the controls. These results demonstrate that prenatal exposure to BrdU affected the development of the brain hi the prenatal and postnatal stages and reduced the volume of SDN-POA after puberty, resulting in a disruption of reproductive ability in male rats. [source] An enigmatic gnathostome vertebrate skull from the Middle Devonian of BoliviaACTA ZOOLOGICA, Issue 2009Alan Pradel Abstract A new taxon, Ramirosuarezia boliviana n. gen., n. sp. is erected for a single, articulated jawed fish (gnathostome) skull from the Middle Devonian (Eifelian) Icla Formation of Bolivia. The specimen displays an elasmobranch-like braincase, but lacks unambiguous elasmobranch and even chondrichthyan characters, although its peculiar tooth-bearing ,labial' elements evoke certain stem-holocephalans. Its endoskeletal elements seem lined with either perichondral bone or non-prismatic calcified cartilage, but show no evidence of endochondral bone. Although devoid of large dermal bones and scales, R. boliviana shares with certain ,ostracoderms', placoderms and holocephalans the lack of an otico-occipital fissure, but lacks a hypophysial fenestra. Certain features (elongated braincase, ,labial elements', sharp denticles and teeth) are also suggestive of the equally enigmatic coeval stensioellids, once regarded as either primitive placoderms or stem holocephalans. The jaws are armed with platelets that bear blunt to pointed and sharp teeth, in which synchrotron radiation microtomography yields evidence of a large pulp cavity, a possibly osteichthyan-like character. No character clearly supports affinities of R. boliviana to any of the currently known major gnathostome groups. Tenuous hints suggest a relationship to the enigmatic fossil Zamponiopteron, from the Eifelian of Bolivia, known by peculiar calcified ,fin plates' and isolated shoulder girdles. [source] Two new iniopterygians (Chondrichthyes) from the Mississippian (Serpukhovian) Bear Gulch Limestone of Montana with evidence of a new form of chondrichthyan neurocraniumACTA ZOOLOGICA, Issue 2009Eileen D. Grogan Abstract The Iniopterygia are Palaeozoic chondrichthyans whose morphology and relationships are poorly understood. The morphology of two new taxa of Iniopterygidae, Rainerichthys zangerli and Papilionichthys stahlae, from the Upper Mississippian of Montana is now described. They exhibit the iniopterygian synapomorphy of dorsolaterally placed pectoral fins. They also display a laterally compressed head and body, a homocercal tail, and a single aspinous dorsal fin originating at approximately mid-body. These taxa differ in upper dental elements, bony cranial plates, body squamation, buccopharyngeal denticles, cranial linking cartilages, palatoquadrate shape, pterygoid articulation, pectoral axis and pectoral girdle shape, and in the robustness of branchial and suprascapular cartilages. The neurocranium is unique among known chondrichthyans in presenting anterior ethmosphenoid and posterior otico-occipital units separated by an intracranial joint. A complete otico-occipital fissure is found posteriorly. One to two pairs of upper parasymphysial whorls and one median lower premandibular symphysial whorl are present. Symphysial whorls were mobile and the cranial complex appears to have been kinetic. Cladistic assessment places these new taxa as basal chondrichthyans below the divergence of the Elasmobranchii and the Euchondrocephali. The range of morphology within known iniopterygians supports rapid diversification and niche specialization in this group of atypical chondrichthyans. [source] Exploiting human anatomical variability as a link between genome and cognomeGENES, BRAIN AND BEHAVIOR, Issue S1 2006C. M. Leonard Although talents and disabilities appear to run in families, direct links between genes and cognitive ability are difficult to establish. Investigators are currently searching for intermediate phenotypes with plausible links to both genome and cognome (the cognitive phenotype). Cortical anatomy could provide one such intermediate phenotype. Variation in cortical size, asymmetry and sulcal pattern is influenced by genetic variation in neurotrophic factors and can predict variation in verbal and mathematical talent. Anecdotal evidence suggests that individuals with a rare morphological variant of Sylvian fissure sometimes have superior visualization ability combined with verbal deficits. Documentation of such ,cognitive cortical syndromes' might prove as genetically informative as the identification of dysmorphic syndromes associated with mental retardation. A necessary prerequisite for the establishment of such syndromes is a reliable technique for the identification of cortical patterns. Recent technical advances in software for automatically labeling and measuring cortical sulci now provide the possibility of establishing standard measures for their shape, size and location. Such measures are a prerequisite for genetic studies of cortical patterns that could illuminate the neurodevelopmental pathways by which genes affect cognitive ability. [source] Self-motion and the origin of differential spatial scaling along the septo-temporal axis of the hippocampusHIPPOCAMPUS, Issue 7 2005Andrew P. Maurer Abstract Spatial scaling of place specific activity in the hippocampus varies systematically from the septal pole (high resolution) to the temporal pole (low resolution). Place fields get progressively larger, and the probability of observing a field in a given environment gets progressively smaller. It was previously found that decoupling movement in space from ambulation, by having the animal actively ride on a mobile platform, results in marked enlargement of the spatial scale factor in the dorsal hippocampus and a reduction in the increase in theta rhythm power with running speed, suggesting that a self-motion signal determines the spatial scale at which the hippocampal population vector updates. These results led to the hypothesis that the gain of the self-motion signal may vary systematically along the septo-temporal axis of the hippocampus. To test this hypothesis, EEG theta rhythm and ensembles of CA1 pyramidal cells and interneurons were recorded from the extreme dorsal and middle portions of the hippocampus. Pyramidal cell population vectors representing successive locations became decorrelated over substantially shorter distances in the dorsal than in the middle hippocampus. Dorsal pyramidal cells had smaller place fields, higher mean and peak firing rates, and higher intrinsic oscillation frequencies during track running than that of middle pyramidal cells. Both dorsal pyramidal cells and interneurons had more elevated mean rates during running, compared with rest, than that of the corresponding cell classes in the middle hippocampus, and both cell classes increased their rates more as a function of speed in the dorsal hippocampus. The amplitude, but not the frequency of fissure recorded theta rhythm, increased more as a function of running speed in the dorsal than in the middle hippocampus. We conclude that variation in the neuronal response to movement speed is the likely basis for the systematic variation in spatial scaling along the septo-temporal axis of the hippocampus. © 2005 Wiley-Liss, Inc. [source] 3. HISTORIOGRAPHY WITHOUT GOD: A REPLY TO GREGORY,HISTORY AND THEORY, Issue 4 2008TOR EGIL FØRLAND ABSTRACT This reply aims both to respond to Gregory and to move forward the debate about God's place in historiography. The first section is devoted to the nature of science and God. Whereas Gregory thinks science is based on metaphysical naturalism with a methodological corollary of critical-realist empiricism, I see critical, empiricist methodology as basic, and naturalism as a consequence. Gregory's exposition of his apophatic theology, in which univocity is eschewed, illustrates the fissure between religious and scientific worldviews,no matter which basic scientific theory one subscribes to. The second section is allotted to miracles. As I do, Gregory thinks no miracle occurred on Fox Lakes in 1652, but he restricts himself to understanding the actors and explaining change over time, and refuses to explain past or contemporary actions and events. Marc Bloch, in his book The Royal Touch: Sacred Monarchy and Scrofula in England and France, is willing to go much further than Gregory. Using his superior medical knowledge to substitute his own explanation of the phenomenon for that of the actors, Bloch dismisses the actors' beliefs that they or others had been miraculously cured, and explains that they believed they saw miraculous healing because they were expecting to see it. In the third section, on historical explanation, I rephrase the question whether historians can accommodate both believers in God and naturalist scientists, asking whether God, acting miraculously or not, can be part of the ideal explanatory text. I reply in the negative, and explicate how the concept of a plural subject suggests how scientists can also be believers. This approach may be compatible with two options presented by Peter Lipton for resolving the tension between religion and science. The first is to see the truth claims of religious texts as untranslatable into scientific language (and vice versa); the other is to immerse oneself in religious texts by accepting them as a guide but not believing in their truth claims when these contradict science. [source] Concrete canal lining cracking in low to medium plastic soils,IRRIGATION AND DRAINAGE, Issue 2 2002H. Rahimi sol plastique; gonflement; revêtement bétonique; Iran Abstract Failure of concrete irrigation canal linings in the form of cracking, rupture, uplifting and opening of joints, causes loss of water and money in many countries. Following the appearance of extensive cracking of concrete linings in one of the Shoeybieh sugar cane industry farms in the Khoozestan province of Iran, extensive research work was conducted to identify the main causes. In this paper, the final results of the research are presented. The testing program consisted of laboratory as well as field tests, including identification, chemical and mechanical tests of soil samples taken from the borrow pits and canal embankments. Dispersivity tests were performed using pin-hole and chemical methods. Swelling tests were conducted using the ASTM standard and ISSMFE method. The field test includes measurement of deformations of the concrete lining and embankment of an actual lined canal resulting from the filling of the canal with water. The canal was 60 m in length. The deformations were recorded by surveying the elevations of steel bars driven to different depths under the canal lining and at different points in the canal and its embankment sections. The results of laboratory tests showed the soil to have low to medium plasticity with a classification of CL-ML, having less than 1% soluble content, and being nondispersive. Swelling tests conducted by the ASTM and ISSMFE methods showed completely different results. The ISSMFE method resulted in a high free swell potential, while the ASTM method indicated a low to medium potential. The results of full-scale field tests were all in favor of the ISSMFE method. The greatest difference between the results of the two methods was found to be due to the different compaction methods used during construction of the canal, as well as the moisture content of the soil sample being prepared for the swell tests. The flocculent structure and lower compaction water content of soil samples in the ISSMFE method resulted in much higher free swell. The similarity between compaction methods used in the field and the static effort used in the ISSMFE method, as well as very low soil water content of the canal embankments during lining operations, were found to be the main reasons for swelling of the soil and the eventual cracking of the concrete linings. Copyright © 2002 John Wiley & Sons, Ltd. RÉSUMÉ L'écroulement du revêtement bétonique des canaux d'irrigation en forme de fissure, de la rupture, de la sous-pression et de l'ouverture des joints, est la cause de la perte d' eau et par conséquence des fonds publics de plusieurs pays dans le monde entier. Après avoir observé ce phénomène dans des canaux d'irrigation d'un grand projet de canne à sucre à Shoeybieh dans la région de Khozestan, située au sud de l'Iran, une équipe de recherche a été engagée pour trouver les causes principales de cetécroulement. Cet article présente les résultats finaux de cette recherche. Le programme consiste de deux types d'essai, en laboratoire et sur le terrain. Les échantillons du sol pour l'essai mécanique et chimique ont été pris dans des emprunts de terre et la digue du canal. Les essais de dispersivité ont été faits par les méthodes de pin-hole et de chimique. La méthode del ISSMFE et la standard del ASTM ont été utilisés pour les essais de gonflement du sol. Le mesurage de la déformation d'un canal revêté en béton et aussi de digue du canal a été fait par rempliz le canal avee de l'eau. Le canal avait une longueur de 60 m. La déformation a été observée en examinant les élévations à plusieurs points sur la profondeur du canal en dessous de la partie revêtée et aussi la digue du canal par un instrument spécifique. Les résultats des essais de laboratoire montrent que les sols qui ont une plasticité entre petite et moyenne situés dans la classification de CL-ML ayant moins d'un pour cent de contenude soluble sont non-dispersifes. Les essais de gonflement par les méthodes de l'ASTM et l'ISSME montrent des résultats tout à fait différents. La méthode ISSMFE montre un potentiel de gonflement assez élevé, tandis que la méthode ASTM montre un potentiel entre petit et moyen. Les résultats des essais en champs d'étude confirme la méthode ISSMFE. La plus grande différence entre le résultat de deux méthodes est à cause d'usage de plusieurs méthodes de compaction dans la période de la construction du canal. La structure floculée du sol ayant une humidité moins compactée dans la méthode ISSMFE montre un gonflement plus élevée du sol. Les méthodes similaires de compaction utilisées dans le champs d'étude et énergie statique utilisée par la méthode ISSFE, et aussi une petite humidité de digue du canal en période de revêtement sont les causes principales de gonflement et éventuellement de fissure. Copyright © 2002 John Wiley & Sons, Ltd. [source] Microcephalia with mandibular and dental dysplasia in adult Zmpste24-deficient miceJOURNAL OF ANATOMY, Issue 5 2008F. De Carlos Abstract ZMPSTE24 (also called FACE-1) is a zinc-metalloprotease involved in the post-translational processing of prelamin A to mature lamin A, a major component of the nuclear envelope. Mutations in the ZMPSTE24 gene or in that encoding its substrate prelamin A (LMNA) result in a series of human inherited diseases known collectively as laminopathies and showing regional or systemic manifestations (i.e. the Hutchinson,Gilford progeria syndrome). Typically, patients suffering some laminopathies show craniofacial or mandible anomalies, aberrant dentition or facial features characteristic of aged persons. To analyse whether Zmpste24,/, mice reproduce the cranial phenotype observed in humans due to mutations in ZMPSTE24 or LMNA, we conducted a craniometric study based on micro-computer tomography (µCT) images. Furthermore, using simple radiology, µCT, µCT-densitometry and scanning electron microscopy, we analysed the mandible and the teeth from Zmpste24,/, mice. Finally, the structure of the lower incisor was investigated using an H&E technique. The results demonstrate that Zmpste24,/, mice are microcephalic and show mandibular and dental dysplasia affecting only the mandible teeth. In all cases, the lower incisor of mice lacking Zmpste24 was smaller than in control animals, showed cylindrical morphology and a transverse fissure at the incisal edge, and the pulpal cavity was severely reduced. Structurally, the dental layers were normally arranged but cellular layers were disorganized. The inferior molars showed a reduced cusp size. Taken together, these data strongly suggest that Zmpste24,/, mice represent a good model to analyse the craniofacial and teeth malformations characteristic of lamin-related pathologies, and might contribute to a better understanding of the molecular events underlying these diseases. [source] Clinical aspects of ulcerative colitis in mainland ChinaJOURNAL OF DIGESTIVE DISEASES, Issue 2 2006Jia Ju ZHENG Inflammatory bowel disease (IBD), including Crohn's disease (CD) and ulcerative colitis (UC), is reported to be increasing in incidence and prevalence in provinces and cities in mainland China. This article specifically reviews clinical features, extra-intestinal manifestations, complications, diagnosis and differential diagnosis, and medical treatment of UC. Compared to patients in Western countries, more mild to moderate and left-sided colitis cases were observed in a nation-wide study in China. Complications included anal fistula, anal abscess, anal fissure, severe bleeding, intestinal perforation, intestinal obstruction and colonic carcinoma. The extra-intestinal manifestations were arthritis/arthralgia, eye and skin disorders and oral ulcers. The high specificity of antineutrophil cytoplasmic antibody may useful for distinguishing UC from infectious colitis; in addition, serum levels of antisaccharomyces cerevisia antibody may helpful for distinguishing between UC and CD. Oral sulfasalazine and 5-aminosalicylic acid (ASA) remain the mainstays for the management of mild to moderate UC in China. Corticosteroids and immunosuppressive agents are also widely used in severe or refractory UC. [source] Oral manifestation of chronic mucocutaneous candidiasis: seven case reportsJOURNAL OF ORAL PATHOLOGY & MEDICINE, Issue 9 2007Xiaosong Liu Background:, Chronic mucocutaneous candidiasis (CMC) is a rare disorder characterized by persistent or recurrent candidal infections of the skin, nails and mucous membranes or by a variable combination of endocrine failure as well as immunodeficiency. Oral clinicopathological features of CMC have seldom been described in detail. Methods:, Seven patients with CMC were reported in the study. The clinical and histological findings, etiological Candida species, immunological evaluation, and therapeutic pattern of oral lesions, were analyzed. Results:, Long-standing whitish hyperplastic and nodule-like lesions with exaggerated deep fissure were the typical and characteristic oral manifestations presented by all patients. The tongue was the most common site affected. Histologically, no obvious distinction was found between CMC and other forms of candidal infection. Abnormal proportions of T-lymphocyte subsets and positive titers of autoantibody were observed in three subjects (42.9%) and one patient (14.3%) respectively. Meanwhile, four subjects (57.1%) showed decreased albumin and increased globulin, three cases (42.9%) had high levels of ESR. But no iron deficiency was found. Candida albicans was the microorganism isolated from these patients. Conclusions:, Multiple and widespread candidal infectious lesions can be observed on the oral cavity of CMC patients. Hyperplastic and nodule-like lesion with irremovable whitish patches and deep fissure are the most common oral manifestations of these patients. Dentists, otolaryngologists and pediatricians should be familiar with the clinical appearances of CMC to make an accurate diagnosis. Potential systemic disorders should be concerned to avoid the reoccurrence of oral candidiasis. [source] Cows milk consumption in constipation and anal fissure in infants and young childrenJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 5 2003F And Objective: To examine daily cows milk consumption and duration of breastfeeding in infants and young children with anal fissure and constipation. Methods: Two groups of 30 consecutive children aged between 4 months and 3 years were evaluated retrospectively. Group I comprised children with chronic constipation and anal fissure in whom surgical causes were excluded, and group II comprised normal children. The daily consumption of cows milk, duration of breastfeeding and other clinical features of the children were investigated Results: The mean daily consumption of cows milk was significantly higher in group I (756 mL, range 200,1500 mL) than group II (253 mL, range 0,1000 mL) (P < 0.001). Group I children were breastfed for a significantly shorter period (5.8 months, range 0,18 months) than group II (10.1 months, range 2,24 months) (P < 0.006). The odds ratios for the two factors , children consuming more than 200 mL of cows milk per day (25 children in group I, 11 children in group II) and breastfeeding for less than 4 months (16 children in group I, 5 children in group II) , were calculated to be 8.6 (95% confidence interval [CI]: 0.23,0.74, P = 0.0005) and 5.7 (95% CI: 0.37,0.66, P = 0.007), respectively. Conclusions: Infants and young children with chronic constipation and anal fissure may consume larger amounts of cows milk than children with a normal bowel habit. Additionally, shorter duration of breastfeeding and early bottle feeding with cows milk may play a role in the development of constipation and anal fissure in infants and young children. [source] Botulinum neurotoxin to treat chronic anal fissure: results of a randomized ,Botox vs.ALIMENTARY PHARMACOLOGY & THERAPEUTICS, Issue 6 2004Dysport' controlled trial Summary Background :,Botulinum neurotoxin induces healing in patients with idiopathic fissure. The optimal dosage is not well established. Aim :,To compare the efficacy and tolerability of two different formulations of type A botulinum neurotoxin, and to provide more evidence with regard to the choice of dosage regimens. Methods :,Symptomatic adults with chronic anal fissure were enrolled in a randomized study. The outcome of each group was evaluated clinically, and by comparing the pressure of the anal sphincters before and after treatment. Results :,Fifty patients received injections of 50 units of Botox formulation (group I), and 50 patients received injections of 150 units of Dysport toxin (group II). One month after injection, 11 patients in group I and eight in group II had mild incontinence of flatus. At the 2-month evaluation point, 46 patients in group I and 47 patients in group II had a healing scar. In group I patients, the mean resting anal pressure was 41.8% lower, and the maximum voluntary squeeze pressure was 20.2% lower, than the baseline value. In group II patients, the resting anal pressure and maximum voluntary squeeze pressure were 60.0 ± 12.0 mmHg and 71.0 ± 30.0 mmHg, respectively. There were no relapses during an average of about 21 months of follow-up. Conclusions :,Botulinum neurotoxin may be considered an effective treatment in patients with chronic anal fissure. The efficacy and tolerability of the two different formulations of botulinum neurotoxin were indistinguishable. [source] Effects of aging and HIF-1, deficiency on permeability of hippocampal vesselsMICROSCOPY RESEARCH AND TECHNIQUE, Issue 1 2006Masaki Ueno Abstract We examined age-related changes in the blood,brain barrier (BBB) of neural cell-specific hypoxia inducible factor-1, (HIF-1,) deficient mice, which showed hydrocephalus with neuronal cell loss, to investigate an effect of neural cell-specific HIF-1, deficiency or hydrocephalus on vascular function. Vascular permeability of horseradish peroxidase (HRP) and binding of cationized ferritin (CF) particles to the endothelial cell luminal surface, as a marker of glycocalyx, were investigated. The thickness of CF-labeled glycocalyx was significantly decreased in the cortex in mutant mice compared with that of control mice, although it was not paralleled by increased vascular permeability. In addition, strong staining for HRP was seen around vessels located along the hippocampal fissure in 24-month-old mutant mice. The reaction product of HRP appeared in an increasing number of the endothelial cell abluminal vesicles and within the thickened basal lamina of arterioles in the hippocampus, showing increased vascular permeability. There were no leaky vessels in 10-week-old mutant mice or 10-week-old and 24-month-old control mice. These findings suggest the necessity of two factors, aging and hydrocephalus, for BBB dysfunction in HIF-1, deficient mice. Microsc. Res. Tech. 69:29,35, 2006. © 2006 Wiley-Liss, Inc. [source] Hutchinson-Gilford progeria syndrome: oral and craniofacial phenotypesORAL DISEASES, Issue 3 2009DL Domingo Objective:, Hutchinson-Gilford progeria syndrome (HGPS) is a rare early-onset accelerated senescence syndrome. In HGPS, a recently identified de novo dominant mutation of the lamin A gene (LMNA) produces abnormal lamin A, resulting in compromised nuclear membrane integrity. Clinical features include sclerotic skin, cardiovascular and bone abnormalities, and marked growth retardation. Craniofacial features include ,bird-like' facies, alopecia, craniofacial disproportion, and dental crowding. Our prospective study describes dental, oral soft tissue, and craniofacial bone features in HGPS. Methods:, Fifteen patients with confirmed p.G608G LMNA mutation (1,17 years, seven males, eight females) received comprehensive oral evaluations. Anomalies of oral soft tissue, gnathic bones, and dentition were identified. Results:, Radiographic findings included hypodontia (n = 7), dysmorphic teeth (n = 5), steep mandibular angles (n = 11), and thin basal bone (n = 11). Soft tissue findings included ogival palatal arch (n = 8), median sagittal palatal fissure (n = 7), and ankyloglossia (n = 7). Calculated dental ages (9 months to 11 years 2 months) were significantly lower than chronological ages (1 year 6 months to 17 years 8 months) (P = 0.002). Eleven children manifested a shorter mandibular body, anterior/posterior cranial base and ramus, but a larger gonial angle, compared to age/gender/race norms. Conclusion:, Novel oral-craniofacial phenotypes and quantification of previously reported features are presented. Our findings expand the HGPS phenotype and provide additional insight into the complex pathogenesis of HGPS. [source] Novel mutation and prenatal sonographic findings of glutaric aciduria (type I) in two Taiwanese familiesPRENATAL DIAGNOSIS, Issue 8 2002S. K. Lin Abstract Glutaric aciduria type I (GA I) is an autosomal recessively inherited inborn error with a defect of the enzyme glutaryl-CoA dehydrogenase (GCDH), which has never been diagnosed prenatally in Taiwanese patients. We present the prenatal sonographic findings and mutational analysis data of three children in two Taiwanese families. One patient from each family was diagnosed postnatally due to macrocephaly and neurological deterioration at 4,months and 10,months, respectively. The third child, sister of the first patient, was diagnosed prenatally at 11,weeks' gestation through chorionic villus sampling (CVS). Molecular analysis revealed that the fetus and child in Family 1 were homozygous for a common mutation, IVS10 -2A>C, which has not been reported in the Caucasian population. The patient in Family 2 was a compound heterozygote for IVS10 -2A>C and a novel mutation 749T>C (L238P). After genetic counseling, the couple decided to continue the second pregnancy. However, dilatation of quadrigeminal cistern (QC) and suspicious macrocephaly were noted at 30,weeks. Progressive dilatation of the QC associated with macrocephaly, fronto-temporal atrophy and wide space of perisylvian fissure were found in the follow-up scans. The affected girl was delivered at 37,weeks' gestation by cesarean section. Postnatal magnetic resonance imaging (MRI) studies confirmed the prenatal sonographic findings. With prenatal sonographic findings and mutational analysis presented in the present cases, the feasibility of prenatal diagnosis of GA I in high-risk pregnancy can not be overlooked. Copyright © 2002 John Wiley & Sons, Ltd. [source] Prenatally detected trisomy 7 mosaicism in a dysmorphic childPRENATAL DIAGNOSIS, Issue 7 2002Sirpa Kivirikko Abstract Trisomy 7 mosaicism was detected prenatally in cultured amniocytes but not in fetal lymphocytes. The child that was born had pigmentary changes of the skin and facial asymmetry suggestive of a chromosomal mosaicism. Skin fibroblasts were studied and trisomy 7 mosaicism was confirmed. At 3,years of age the boy had developed mentally within normal limits. However, dysmorphic findings include sparse hair, short leftpalpebral fissure, ptosis of the left eyelid, strabismus, enamel dysplasia, low-set and posteriorly rotated ears and undescended testes. These findings share some common features with previously reported cases of trisomy 7 mosaicism. Copyright © 2002 John Wiley & Sons, Ltd. [source] Research on aging using brain imaging and cognitive tests over 6 years in 145 healthy elderly subjectsPSYCHOGERIATRICS, Issue 4 2008Hirohide KADA Abstract Background:, Changes over a period of 10 years in the cognitive function, head magnetic resonance imaging findings, and daily life of approximately 300 healthy elderly subjects were determined. As part of the larger 10-year study, changes are reported herein over a period of 6 years for 145 individuals. Methods:, One hundred and forty-five healthy elderly subjects were divided into two groups: (i) those who were 69 years of age or younger at the start of the study (Group A); and (ii) those who were 70 years of age or older (Group B). Results:, Changes over time in Benton's visual retention test (BVRT) and enhanced cued recall (ECR), both of which rely mainly on subjects memorizing figures, were seen in Group B. With the coding test, the results from the second phase (initial test) showed differences according to initial age; in addition, the differences became greater with aging. It appears that work speed is reduced with increasing age. Conclusion:, The results of the BVRT and ECR suggest that enlargement of the Sylvian fissure and atrophy of the temporal lobe are indicators of deterioration of memory. [source] Reference-independent ERP old/new effects of auditory and visual word recognition memory: Joint extraction of stimulus- and response-locked neuronal generator patternsPSYCHOPHYSIOLOGY, Issue 6 2007Jürgen Kayser Abstract To clarify polarity, topography, and time course of recognition memory ERP old/new effects during matched visual and auditory continuous word recognition tasks, unrestricted temporal PCA jointly analyzed stimulus- and response-locked, reference-free current source densities (31-channel, N=40). Randomization tests provided unbiased statistics for complete factor topographies. Old/new left parietal source effects were complemented by lateral frontocentral sink effects in both modalities, overlapping modality-specific P3 sources 160 ms preresponse. A mid-frontal sink 45 ms postresponse terminated the frontoparietal generator pattern, showed old/new effects consistent with bilateral activation of anterior cingulate and SMA, and preceded similar activity extending posteriorly along the longitudinal fissure. These methods separated old/new stimulus source (preresponse) and response sink (postresponse) effects from motor and modality-specific ERPs. [source] Planum parietale of chimpanzees and orangutans: A comparative resonance of human-like planum temporale asymmetryTHE ANATOMICAL RECORD : ADVANCES IN INTEGRATIVE ANATOMY AND EVOLUTIONARY BIOLOGY, Issue 1 2005Patrick J. Gannon Abstract We have previously demonstrated that leftward asymmetry of the planum temporale (PT), a brain language area, was not unique to humans since a similar condition is present in great apes. Here we report on a related area in great apes, the planum parietale (PP). PP in humans has a rightward asymmetry with no correlation to the L>R PT, which indicates functional independence. The roles of the PT in human language are well known while PP is implicated in dyslexia and communication disorders. Since posterior bifurcation of the sylvian fissure (SF) is unique to humans and great apes, we used it to determine characteristics of its posterior ascending ramus, an indicator of the PP, in chimpanzee and orangutan brains. Results showed a human-like pattern of R>L PP (P = 0.04) in chimpanzees with a nonsignificant negative correlation of L>R PT vs. R>L PP (CC = ,0.3; P = 0.39). In orangutans, SF anatomy is more variable, although PP was nonsignificantly R>L in three of four brains (P = 0.17). We have now demonstrated human-like hemispheric asymmetry of a second language-related brain area in great apes. Our findings persuasively support an argument for addition of a new component to the comparative neuroanatomic complex that defines brain language or polymodal communication areas. PP strengthens the evolutionary links that living great apes may offer to better understand the origins of these progressive parts of the brain. Evidence mounts for the stable expression of a neural foundation for language in species that we recently shared a common ancestor with. © 2005 Wiley-Liss, Inc. [source] Subungual glomus tumor diagnosis based on imagingTHE JOURNAL OF DERMATOLOGY, Issue 6 2006Noriko TAKEMURA ABSTRACT A 50-year-old woman had had tenderness of the nail bed of the right thumb for more than 20 years. For the previous 5 or 6 years, she had also had attacks of pain with exposure to cold, and deformity of the right thumb nail plate began to appear. There was red discoloration on the proximal aspect of the nail bed, and a longitudinal fissure on the distal aspect of the nail plate. Ultrasonography showed a well-circumscribed hypoechoic area under the proximal aspect of the nail plate and the nail matrix. Color Doppler ultrasonography showed subtle flow signals within the hypoechoic area. Magnetic resonance imaging showed a well-circumscribed mass in the same place that the ultrasonography indicated. It was isointense to the dermis of the nail bed on the T1-weighted image and hyperintense on the T2-weighted image. Radiography showed subtle dorsal bone erosion in the distal phalanx. Surgery was performed. Histologically, the diagnosis of a subungual glomus tumor was made. We diagnosed the exact location and size of the subungual glomus tumor by preoperative imaging and completely removed it easily and safely. Imaging is very useful for diagnosing tumors of the nail unit. [source] Cortical Sensorimotor Control in Vocalization: A Functional Magnetic Resonance Imaging Study,THE LARYNGOSCOPE, Issue 11 2008Arno Olthoff MD Abstract Background: Verbal communication is a human feature and volitional vocalization is its basis. However, little is known regarding the cortical areas involved in human vocalization. Methods: Therefore, functional magnetic resonance imaging at 3 Tesla was performed in 16 healthy adults to evaluate brain activations related to voice production. The main experiments included tasks involving motor control of laryngeal muscles with and without intonation. In addition, reference mappings of the sensorimotor hand area and the auditory cortices were performed. Results: Related to vocalization, in addition to activation of the most lateral aspect of the primary sensorimotor cortex close to the Sylvian fissure (M1c), we found activations medially (M1a) and laterally (M1b) of the well-known sensorimotor hand area. Moreover, the supplementary motor area and the anterior cingulate cortex were activated. Conclusions: Although M1a could be ascribed to motor control of breathing, M1b has been associated with laryngeal motor control. Consequently, even though M1c represents a laryngeal sensorimotor area, its exclusiveness as suggested previously could not be confirmed. Activations in the supplementary motor area and anterior cingulate cortex were ascribed to "vocal-motor planning." The present data provide the basis for further functional magnetic resonance imaging studies in patients with neurological laryngeal disorders. [source] Systematization, Distribution and Territory of the Middle Cerebral Artery on the Brain Surface in Chinchilla (Chinchilla lanigera)ANATOMIA, HISTOLOGIA, EMBRYOLOGIA, Issue 1 2009A. C. P. De Araujo Summary The aim of the present study was to analyse thirty chinchilla (Chinchilla lanigera) brains, injected with latex, and to systematize and describe the distribution and the vascularization territories of the middle cerebral artery. This long vessel, after it has originated from the terminal branch of the basilar artery, formed the following collateral branches: rostral, caudal and striated (perforating) central branches. After crossing the lateral rhinal sulcus, the middle cerebral artery emitted a sequence of rostral and caudal convex hemispheric cortical collateral branches on the convex surface of the cerebral hemisphere to the frontal, parietal, temporal and occipital lobes. Among the rostral convex hemispheric branches, a trunk was observed, which reached the frontal and parietal lobes and, in a few cases, the occipital lobe. The vascular territory of the chinchilla's middle cerebral artery included, in the cerebral hemisphere basis, the lateral cerebral fossa, the caudal third of the olfactory trigone, the rostral two-thirds of the piriform lobe, the lateral olfactory tract, and most of the convex surface of the cerebral hemisphere, except for a strip between the cerebral longitudinal fissure and the vallecula, which extended from the rostral to the caudal poles bordering the cerebral transverse fissure. [source] Early Embryonic Development of the Camel Lumbar Spinal Cord SegmentANATOMIA, HISTOLOGIA, EMBRYOLOGIA, Issue 2005M. E. Abd Elmonem The lumbar spinal cord segment of the camel embryo at CVRL 2.4 to 28 cm was examined. Major changes are occurring in the organization of the lumbar spinal cord segments during this early developmental period. At the CVRL 2.4, 2.7 and 3.6 cm the three primary layers, ependymal cells layer, mantle cells layer, marginal cells layer in the developing lumber spinal cord segment were demonstrated. The mantle layer is the first to show striking differentiation, while the marginal layer is represented by thin outer rim. Proliferation and differentiation of the neuroepithelial cells in the developing spinal cord produce the thick lateral walls, thin roof and floor plates. The spinal ganglion and dorsal root of the spinal nerve are differentiated. At 2.7 cm CVRL differential thickening of the lateral walls produces a shallow longitudinal groove called sulcus limitans, which separates the dorsal part (alar plate) from ventral part (basal plate). The ventral root of the spinal nerve, the spinal cord and ganglion are embedded in loose mesenchyme, which tends to differentiate into spinal meninges. At 3.6 cm CVRL the basal plate, which is the future ventral gray horn, seem to be quite voluminous and the dorsal and ventral roots unite to form the beginning of the spinal nerve. At 5.5 cm CVRL the alar plates enlarge forming the dorsal septum. At 8.4 cm to 10.5 cm CVRL the basal plates enlarge, and bulge ventrally on each side of the midline producing the future ventral medium fissure, and the white and gray matters can be recognized. At 28 cm CVRL the lumen of the spinal cord is differentiated into the central canal bounded dorsally and ventrally by dorsal and ventral gray commissures, and therefore the gray matter takes the appearance of a butterfly. The lumber spinal nerve and their roots are well distinguished. [source] Anal stenosis: use of an algorithm to provide a tension-free anoplastyANZ JOURNAL OF SURGERY, Issue 5 2010Zeev Duieb Abstract Background:, Anal stenosis is a debilitating condition that often is iatrogenic in cause. Various surgical procedures to manage this problem have been described. The present study evaluates the use of different anoplasty techniques in a series of 11 patients with anal stenosis. To the best of the authors' knowledge, this is the first study to provide a stepwise algorithm for the anoplasty techniques used. Methods:, A series of 11 patients were evaluated for presenting symptoms, cause of anal stenosis, type of anoplasty used, complications and post-operative success in relieving symptoms. All operations were performed by one surgeon in three hospitals, and were followed up by the same surgeon and by a surgical registrar. Results:, The most common presenting symptoms were constipation and decreasing calibre of stool. The main causes of anal stenosis were previous surgery, neoplasia and fissure. Transverse closure, Y-V and diamond advancement flaps were used in an escalating manner to deal with increasing severity of stenosis. All 11 patients had some level of improvement in symptoms post-operatively. There were no long-term complications. Conclusion:, Anoplasty is a safe and successful option in the treatment of anal stenosis, and this stepwise algorithm takes the guesswork out of choosing the most appropriate procedure for each patient. [source] Effect of topical glyceryl trinitrate on anodermal blood flow in patients with chronic anal fissuresANZ JOURNAL OF SURGERY, Issue 9 2001Keith B. Kua Introduction: Recent studies have highlighted the role of increased internal anal sphincter pressure and decreased anodermal blood flow in the pathogenesis of chronic anal fissures. The duration of the effect of topical 0.2% glyceryl trinitrate (GTN) ointment on anodermal blood flow in fissure and normal areas was investigated in patients with chronic anal fissures. Methods: Six patients with chronic anal fissures in the posterior midline participated in the study. Blood flow measurements were performed on the anoderm using laser Doppler flowmetry before and immediately after the topical application of 0.2% GTN ointment and subsequent readings were taken at 5, 15, 30, 45 and 60 min in all four quadrants. Results: The mean anodermal blood flow in the fissure region is significantly lower than the mean blood flow of the rest of the anoderm before 0.2% GTN ointment is applied (228.7 ± 61.8 flux units vs 439.3 ± 25.5 flux units, respectively; P < 0.05). Immediately after the application of local 0.2% GTN ointment there is a significant increase in anodermal blood flow over the anal fissure region (457.8 ± 56.5 flux units; P < 0.05) compared to the rest of the anoderm (457.4 ± 30.8 flux units). This increase is most marked at 5 min post-GTN ointment application in the fissure area (474.6 ± 41.1 flux units) and the blood flow in the fissure region is consistently above the rest of the anoderm for most of the 60 min. Conclusion: There is clearly reduced blood flow to the chronic anal fissure region compared to the rest of the anoderm. Topical application of glyceryl trinitrate ointment seems to significantly improve the blood flow to the fissured area in the first hour. This may therefore help in the healing of chronic anal fissures. [source] Pits and Fissures: Etch Resistance in Prismless Enamel WallsAUSTRALIAN DENTAL JOURNAL, Issue 4 2001MF Burrow Background: In a previous study to examine the nature of etching on the walls of fissures, there was a consistent result of resistance to deep etching on parts of the walls and a zone of lesser etching on part of the walls as evidenced by the uptake of stain. The staining had been used to examine the nature of the etch pattern. The aims of this study were to define the nature of this etch resistant area. Methods: A sample of 55 teeth, both molars and premolars, were divided into three groups. In the first group the wetting of fissures by the etchant was examined; the second group tested for the effects of pellicle-cuticle-debris or air entrapment on the etching process. The final group looked at alternative mechanical treatments of the fissure prior to etching. Results: The specimens split along the fissures showed clearly that the etch resistant zone was not due to lack of contact with the etchant or the presence of a pellicle-cuticle-debris covering, but to the presence of a prismless enamel structure. This study showed that this zone inhibited tag development on the fissure walls. Conclusions: The mechanical removal of this prismless layer of enamel within the fissure system should result in an improved bonding of a fissure sealant through better tag development, in turn leading to a reduction in the failure rate of a sealant used to prevent caries. [source] | ||||||||||||||||||||||||||||||||||||||||||||||