51 research outputs found

    A comprehensive overview of radioguided surgery using gamma detection probe technology

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    The concept of radioguided surgery, which was first developed some 60 years ago, involves the use of a radiation detection probe system for the intraoperative detection of radionuclides. The use of gamma detection probe technology in radioguided surgery has tremendously expanded and has evolved into what is now considered an established discipline within the practice of surgery, revolutionizing the surgical management of many malignancies, including breast cancer, melanoma, and colorectal cancer, as well as the surgical management of parathyroid disease. The impact of radioguided surgery on the surgical management of cancer patients includes providing vital and real-time information to the surgeon regarding the location and extent of disease, as well as regarding the assessment of surgical resection margins. Additionally, it has allowed the surgeon to minimize the surgical invasiveness of many diagnostic and therapeutic procedures, while still maintaining maximum benefit to the cancer patient. In the current review, we have attempted to comprehensively evaluate the history, technical aspects, and clinical applications of radioguided surgery using gamma detection probe technology

    Diabetic ketoacidosis

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    Diabetic ketoacidosis (DKA) is the most common acute hyperglycaemic emergency in people with diabetes mellitus. A diagnosis of DKA is confirmed when all of the three criteria are present — ‘D’, either elevated blood glucose levels or a family history of diabetes mellitus; ‘K’, the presence of high urinary or blood ketoacids; and ‘A’, a high anion gap metabolic acidosis. Early diagnosis and management are paramount to improve patient outcomes. The mainstays of treatment include restoration of circulating volume, insulin therapy, electrolyte replacement and treatment of any underlying precipitating event. Without optimal treatment, DKA remains a condition with appreciable, although largely preventable, morbidity and mortality. In this Primer, we discuss the epidemiology, pathogenesis, risk factors and diagnosis of DKA and provide practical recommendations for the management of DKA in adults and children

    SALT ACCLIMATION OF TRITICUM-AESTIVUM BY CHOLINE CHLORIDE - PLANT-GROWTH, MINERAL-CONTENT, AND CELL-PERMEABILITY

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    Seedlings of a salt sensitive line of Triticum aestivum were grown in Hoagland solution supplemented with 100 mM NaCl following a pretreatment with choline chloride (ChCl). Changes in growth, mineral content of roots and shoots, and passive permeability of the cell membrane were measured. Relative growth of ChCl pretreated plants after exposure to NaCl maximized at 0.5 mM ChCl reaching about control values. Mineral content (except Na+ and C1-) was lowered by NaCl treatment. Choline chloride pretreatment at all concentrations decreased cell membrane permeability for urea and methylurea with little effect of a subsequent NaCl treatment. The results suggested that ChCl acclimated the salt sensitive wheat cultivar (with 0.5 mM ChCl the most effective concentration). It is proposed that this acclimation involves two components: (a) modification of the membrane phospholipid composition and structure by the ChCl pretreatment, and (b) enabling of the cell metabolism to function near to normal under saline conditions after ChCl pretreatment
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