A study of the normal temporal healing pattern and the mucociliary transport after endoscopic partial and full-thickness removal of nasal mucosa in sheep

Copyright © 2001 Australasian Society for ImmunologyThe aim of this study was to assess the temporal healing process of nasal epithelium after full- thickness and partial thickness mucosal removal in sheep. Healing was assessed by histologically examining serial biopsies of the healing wounds. The histology assessed the regeneration of epithelium and return of cilia. Mucociliary clearance was measured before and after injury. On day 84 post injury partial thickness injuries had 80.7% (SEM = 10.25) normal epithelium and 68.35% (SEM = 19.2) reciliation. Full-thickness wounds had 64.98% (SEM = 19.17) normal epithelium and 32.96% (SEM = 17.46) reciliation. On day 84 the difference for epithelium regeneration was not significant (P > 0.05), but reciliation was significant (P 0.05). The time period (84 days) for evaluation of reciliation was insufficient, as reciliation appeared to be continuing. The healing process took place over a longer time period than what had been previously reported in the literature and this may account for the symptoms seen in the postoperative period in patients after sinus surgery.Chi-Kee L Shaw, Allison Cowin and Peter-John Wormal

Current treatment strategies for primary upper extremity deep venous thrombosis; a retrospective observational multicenter case series

INTRODUCTION: Current treatment strategies for primary upper extremity deep venous thrombosis (pUEDVT) range from conservative treatment with anticoagulation therapy to invasive treatment with thoracic outlet decompression surgery (TOD), frequently combined with catheter directed thrombolysis, percutaneous transluminal angioplasty, or stenting. Due to a lack of large prospective series with uniform data collection or a randomized trial, the optimal treatment strategy is still under debate. We conducted a multicenter observational study to assess the efficacy and safety of both the conservative and invasive treatment strategies for patients with pUEDVT. METHODS: We retrospectively collected data from patients treated in five vascular referral and teaching hospitals in the Netherlands between 2008 and 2019. Patients were divided into a conservative (Group 1), an invasive treatment group (Group 2) and a cross-over group (Group 3) of patients who received surgical treatment after initial conservative therapy. Follow-up consisted of outpatient clinic visits and an electronic survey. Primary outcome was symptom free survival defined as absence of any symptom of the affected arm reported at last follow-up regardless of severity, or extent of functional disability. Secondary outcomes were incidence of bleeding complications, recurrent venous thromboembolism, surgical complications, and reinterventions. RESULTS: A total of 115 patients were included (group 1 (N = 45), group 2 (N = 53) or group 3 (N = 27). The symptom free survival was 35.6%, 54.7% and 48.1% after a median follow-up of 36, 26 and 22 months in groups 1, 2 and 3 respectively. Incidence of bleeding complications was 8.6%, 3.8% and 18.5% and recurrent thrombosis occurred in 15.6%, 13.2% and 14.8% in groups 1-3 respectively. CONCLUSION: In this multicenter retrospective observational cohort analysis the conservative and direct invasive treatments for pUEDVT were deemed safe with low percentages of bleeding complications. Symptom free survival was highest in the direct surgical treatment group but still modest in all subgroups. Perioperative complications were infrequent with no related long term morbidity. Of relevance, pUEDVT patients with confirmed VTOS and recurrent symptoms after conservative treatment may still benefit from TOD surgery. However, symptom free survival of this delayed TOD seems lower than direct surgical treatment and bleeding complications seem to occur more frequently

The Effect of Experimental Denture Cleanser Solution Ricinus communis on Acrylic Resin Properties

This study evaluated heat-polymerized (HPR) and microwave-polymerized acrylic resins (MPR), after immersion in water, 1% hypochlorite and Ricinus communis solution (RC). Knoop hardness, color alteration, roughness and flexural strength tests were performed after obtaining the specimens and after time intervals of 15 (T15) and 183 (T183) days. Variations in data (Δ) were submitted to ANOVA and Tukey tests (P = 0.05). For ΔT15 HPR there was greater variation in hardness when immersed in water (P = 0.00) and for MPR, after immersion in RC (P = 0.00). RC caused the greatest variation in roughness (P = 0.015). Color alteration was not significant (P = 24.46). Hypochlorite caused a decrease in flexural strength (P = 0.37). After ΔT183, hypochlorite and RC caused a decrease in HPR hardness value (P = 0.00). MPR showed the greatest variation in roughness (P = 0.01). HPR presented the most color alteration after immersion in RC (P = 0.214). Hypochlorite and RC caused the lowest flexural strength values for MPR (P = 0.89). RC caused alterations in resin properties, and was not shown to be superior to hypochlorite

Evaluation of trace metals (cadmium, chromium, copper and zinc) in tissues of a commercially important fish (Leporinus obtusidens) from Guaíba Lake, Southern Brazil

Concentrations of Cd, Cr, Cu and Zn were determined in liver and muscle of Leporinus obtusidens. During 2003, the fishes (N = 54) were sampled from three sites along Guaíba Lake (north, central and south zones). The hypotheses tested assumed that there were differences in the location and date as to levels of contamination, association between the trace metal content in the fishes and size, and that the sex influenced metal accumulation. Possible risks of contaminated fish consumption to human health were also evaluated. The level of mean concentration (µg/g) of metals in tissues was higher in liver than muscle: [Cd] = 2.32&#9794;; [Cr] = 0.08&#9792;; [Cu] = 30.82&#9792; and [Zn] = 97.77&#9792;. The results showed differences between the local and date sampling for all metals except Cr. Metal content was higher in the warmer than colder seasons and in the central zone than at other points. Significant sexual differences were detected for Cd and Zn and there were positive associations between the size and metal concentrations for Cu and Zn. The concentration levels of metals in muscle tissue showed that the fish samples did not offer risks to human health.<br>As concentrações dos metais Cd, Cr, Cu e Zn foram determinadas para os tecidos muscular e hepático de Leporinus obtusidens no sul do Brasil. Durante o ano de 2003, 54 indivíduos foram capturados em três locais ao longo do Lago Guaíba (norte, centro e sul). Neste estudo verificamos se havia diferenças entre os locais de amostragem e as épocas do ano nas concentrações de metais nos tecidos analisados, bem como relação entre a concentração do metal e tamanho e sexo dos indivíduos. O risco para o consumo humano também foi avaliado. A concentração média (µg/g) dos metais foi maior no fígado do que no músculo para todos os metais: [Cd] = 2,32&#9794;; [Cr] = 0,08&#9792;; [Cu] = 30,82&#9792; e [Zn] = 97,77&#9792;. Os resultados apresentaram diferenças significativas entre os locais (região central do lago com as maiores concentrações) e épocas do ano (meses de primavera e verão) para todos os metais, exceto Cr. Diferenças entre os sexos também foram detectadas, para Cd e Zn, e relações com o tamanho dos indivíduos para Cu e Zn. Os níveis encontrados no tecido muscular não oferecem riscos ao consumo da espécie