Chloroquine-induced bull's eye maculopathy

We report the case of a 51-year-old woman who presented with bilateral progressive deterioration in vision after taking chloroquine for severe rheumatoid arthritis for 10 years. She was found to have a bull's eye pattern of depigmentation in the macula of both eyes. Despite cessation of chloroquine, her vision did not improve. The clinical presentation of chloroquine retinopathy is discussed, along with the importance of scheduled eye examination for individuals taking chloroquine or hydroxychloroquine.published_or_final_versio

DSC Dispatch, September 2012, Vol. 6

A quarterly publication by the Division of Soil Conservatio

Quasiparticle scattering and local density of states in the d-density wave phase

We study the effects of single-impurity scattering on the local density of states in the high-$T_c$ cuprates. We compare the quasiparticle interference patterns in three different ordered states: d-wave superconductor (DSC), d-density wave (DDW), and coexisting DSC and DDW (DSC-DDW). In the coexisting state, at energies below the DSC gap, the patterns are almost identical to those in the pure DSC state with the same DSC gap. However, they are significantly different for energies greater than or equal to the DSC gap. This transition at an energy around the DSC gap can be used to test the nature of the superconducting state of the underdoped cuprates by scanning tunneling microscopy. Furthermore, we note that in the DDW state the effect of the coherence factors is stronger than in the DSC state. The new features arising due to DDW ordering are discussed.Comment: 6 page, 5 figures (Higher resolution figures are available by request

Cross-linking of dermal sheep collagen using a water-soluble carbodiimide

A cross-linking method for collagen-based biomaterials was developed using the water-soluble carbodiimide 1-ethyl-3-(3-dimethyl aminopropyl)carbodiimide hydrochloride (EDC). Cross-linking using EDC involves the activation of carboxylic acid groups to give O-acylisourea groups, which form cross-links after reaction with free amine groups. Treatment of dermal sheep collagen (DSC) with EDC (E-DSC) resulted in materials with an increased shrinkage temperature (Ts) and a decreased free amine group content, showing that cross-linking occurred. Addition of N-hydroxysuccinimide to the EDC-containing cross-linking solution (E/N-DSC) increased the rate of cross-linking. Cross-linking increased the Ts of non-cross-linked DSC samples from 56 to 73 °C for E-DSC and to 86 °C for E/N-DSC samples, respectively. For both cross-linking methods a linear relation between the decrease in free amine group content and the increase in Ts was observed. The tensile strength and the high strain modulus of E/N-DSC samples decreased upon cross-linking from 18 to 15MPa and from 26 to 16MPa, respectively. The elongation at break of E/N-DSC increased upon cross-linking from 142 to 180%

Crosslinking of dermal sheep collagen using hexamethylene diisocyanate

The use of hexamethylene diisocyanate (HMDIC) as a crosslinking agent for dermal sheep collagen (DSC) was studied. Because HMDIC is only slightly water soluble, a surfactant was used to obtain a clear and micellar crosslinking solution and to promote the penetration of HMDIC in the DSC matrix. Using optimized conditions treatment of non-crosslinked DSC (N-DSC) with HMDIC (H-DSC) increased the shrinkage temperature (Ts) of N-DSC from 56°C to 74°C for H-DSC. A linear relation between the decrease in free amine group content and the increase in Ts was observed. Crosslinking with HMDIC did not influence the tensile strength of the N-DSC samples but increased the elongation at break from 141% to 163% and decreased the high-strain modulus from 26 MPa to 16 MPa for the H-DSC samples, respectively

Flashes, floaters, and retinal detachment

Patients presenting to the family physician and ophthalmologist often have complaints of flashes and floaters. These symptoms may be benign or they may be associated with serious conditions such as a retinal tear or retinal detachment. Recognizing the importance of these symptoms would allow prompt referral to the ophthalmologist for a detailed ocular examination. Today, more than 95% of retinal detachments can be successfully treated, although more than one procedure may be required. Prevention or early diagnosis is important because the rate of successful repair is higher and the visual results are better if the retinal detachment spares the macula, the part of the retina responsible for fine, central vision. Through successful treatment, patients will be able to enjoy a better quality of life and maintain their abilities to read, work, drive, and care for themselves.published_or_final_versio

Influence of ethylene oxide gas treatment on the in vitro degradation behavior of dermal sheep collagen

The influence of ethylene oxide gas treatment on the in vitro degradation behavior of noncrosslinked, glutaraldehyde crosslinked or hexamethylene diisocyanate crosslinked dermal sheep collagen (DSC) using bacterial collagenase is described. The results obtained were compared with the degradation behavior of either nonsterilized or γ-sterilized DSC. Upon ethylene oxide sterilization, reaction of ethylene oxide with the free amine groups of DSC occurred, which resulted in a decreased helix stability, as indicated by a lowering of the shrinkage temperature of all three types of DSC. Except for the low strain modulus the mechanical properties of the ethylene oxide sterilized materials were not significantly altered. γ-Sterilization induced chain scission in all three types of DSC, resulting in a decrease of both the tensile strength and the high strain modulus of noncrosslinked and crosslinked DSC. When exposed to a solution of bacterial collagenase, ethylene oxide sterilized materials had a lower rate of degradation compared with nonsterilized DSC. This has been explained by a reduced adsorption of the collagenase onto the collagen matrix as a result of the introduction of pendant N-2-hydroxy ethyl groups