Bacterial penetration through Resolut resorbable membrane in vitro. An histological and scanning electron microscopic study

PURPOSE: To define early anatomic changes in the aorta in an in vitro hydrostatic model of acute aortic dissection. MATERIALS AND METHODS: Aortic dissections were created in explanted aortas. A small portion of the dissection flap was resected to allow free communication between the true and false lumina. The aortas were suspended in a saline bath and distended by means of a saline fluid column. By using intravascular ultrasonography, the arc lengths of the outer walls of the true and false lumina and of the dissection flap were measured at increasing hydrostatic pressures and at increasing fractions of dissected wall circumference. RESULTS: The dissected aorta immediately became ectatic. At a given fraction of wall circumference involved in dissection, total aortic cross-sectional area increased with increased hydrostatic pressure. At a given hydrostatic pressure, this area increased with increased fraction of wall circumference dissected. Most of the increase was due to dilatation of the false lumen. There were minimal changes in true-lumen size. Dissection flap length, after initial contraction at the time of dissection, changed minimally with increasing pressure. CONCLUSION: Anatomic changes in the dissected aorta depend on hydrostatic pressure and on the percentage of aortic wall involved in the dissection.     

Cell membrane maturation of Friend erythroleukemic cells and tocopherol-dependent erythropoietin effect: a scanning electron microscopic study

Typical morphological features of surface structural alterations during Friend cells differentiation are described. Scanning electron microscopy (SEM) revealed that DMSO induction switched on cell alteration of the proerythroblast-like cells, possessing microvilli projections on cell membrane with some ruffles, to an advanced stage with a blebby surface. This was followed by the formation of a pear-like polarized cell separated into two zones by a narrow cytoplasmic bridge at the equatorial plane. The polarized cells showed a smooth surface and tended to disconnect into two unequal cells. The villous leukemic erythroblast has negatively charged sialic acid residues on the glycocalyx, available for latex hydrazide probe binding, while the blebby and polarized cells lack it. Tocopherol added to culture medium of DMSO-induced erythroleukemic cells prevented the formation of blebs and the polarization phenomena, without affecting hemoglobin synthesis. The tocopherol-treated cells contain available negative charges for latex hydrazide binding similar to uninduced Friend cells. Erythropoietin potentiated a repolarization ability and morphological alteration capacity to the tocopherol-treated cells and this was accompanied by a loss of glycocalyx-negative charges. At these growth conditions erythyropoietin induced a dose-dependent proliferation effect.     

Luminal epithelium of Warthin's tumours: a scanning electron microscopic study

Three cases of papillary cystadenoma lymphomatosum were examined by light and scanning electron microscope to declare the morphology of the luminal epithelial surface. It was found that ciliated cells were present in one case. This finding explains the origin of ciliated cells as a development included in the neighbouring lymph node with a tendency of metaplastic change and exfoliation.     

A scanning electron microscopic study of the degenerative cartilage in patellar chondropathy

Patellar chondropathy as cartilage degeneration localized in patellar cartilage in young persons is characterized by cartilaginous changes, such as softening, swelling, and fissuring. With a view to structural characterization of early cartilaginous degeneration before erosion, the morphology of affected cartilage was studied under a scanning electron microscope. The surface network of cartilage constituting fibrils had an edematous change, presenting with fibrillation on the medial facet, whereas many fibrils of the central ridge had a collagen bundle, and fissuring of varying size was observed. It appeared that a mechanical force (shearing) acting on the site of the central ridge was associated with the formation of a collagen bundle and its destruction. On the lateral facet, fibrils were arranged perpendicular to the joint surface; the superficial layer of fibrils was worn by hyper-pressure acting on the lateral facet. On the fractured surface, the coarseness of collagen fibrils showed changes that varied with the site and stage of cartilage degeneration. Frequent changes were signs of fibril loosening (coarsening), such as reduction in fibril density (i.e., edematous change), collagen fibril aggregation, and fissuring, and longitudinal restructuring of fibrils. The patellar cartilage in the patients of this series showed a structure adapted to the mechanical force. The initial structural changes of cartilage consisted of collagen fibril aggregation and reduction in fibril density. These changes give rise to matrix rarefaction, which in turn causes cartilage degeneration to progress. These changes were concurrent in both the superficial and middle layers and were not localized as basal degeneration.     

A scanning and transmission electron microscopic study of fiber arrangement in the hepatic capsule

The arrangement of fibrous elements in the rat hepatic capsule was examined under a scanning electron microscope (SEM) after alkaline or acid maceration of the serous coat, in conjunction with examination of the thin sections using a transmission electron microscope (TEM). The elastic fibers appeared as thin threads in a densely meshed network, lying just beneath the serous coat. Their surface was granular with short rods in the materials fixed with paraformaldehyde. In contrast, the collagen fibers were observed as relatively thick threads, with fascicles of collagen fibrils that were uniform in size. These fascicles extended in various directions to form rough meshes that were traversed by small fascicles and anastomosed with each other. The fibrous branches of the elastic fibers extended on or into the underlying collagen fibers to be anchored, while the collagen fibers converged on many areas of the liver surface, and were transferred into the interlobular connective tissues. The findings of the present study thus suggest that the fiber arrangement plays an effective role in the mechanical protection of the fragile liver cells and delicate serous cells from pressure and friction damage by the neighboring abdominal organs and walls of the abdominal cavity due to the elastic mobility of the subserosal elastic network in addition to the possible slippery cushion of a serous layer on the serous cells.     

A scanning and transmission electron microscopic study of experimental extrahepatic cholestasis in the rat

The rat liver after extrahepatic biliary obstruction was studied by SEM and TEM in correlation with basic histochemical techniques. Cholestasis was verified by serological methods. The biochemical data (increase in serum bilirubin values, a gradual lowering of the albumin fraction), in agreement with the ultrastructural results of a sparse RER, suggested a gradual decrease of the protein synthetic activity of the hepatocyte. SEM and TEM revealed numerous fat-storing cells, closely associated with patches of connective fibrils in the subendothelial spaces. Further ultrastructural observations demonstrated: a) a proliferation of the intrahepatic biliary tree (ductular proliferation, including newly formed ducts with sacculation and diverticuli); b) an increased number of canaliculo-ductular junctions and, c) an increase in the length of the bile canalicular network due to its tortuous course, pocketing and side branching. The occurrence of an intact cytoplasmic barrier separating the bile canalicular lumen from the Disse's space together with the results obtained by retrograde infusion of ferritin into the biliary tree suggested that the regurgitation pathway by ductular reabsorption and by transhepatocytic transport is the best documented and most acceptable, at least in the rat.     

A combined scanning and transmission electron microscopic study and electron probe microanalysis of human pineal acervuli

The frequency of postoperative infections in oncologic head and neck surgery can be reduced by the prophylactic use of antibiotics. In order to assess such preventive treatments as to their advantages and disadvantages, a controlled clinical trial was undertaken. The prophylactic use of antibiotics was used in 107 patients, operated for tumors of the upper airway-digestive tract. According to a previous randomisation, the patients received either carbenicillin either ticarcillin. The efficiency of carbenicillin and ticarcillin proved similar. The results obtained with these antibiotics turned out to be superior to those previously obtained with combined ampicillin and cloxacillin; the number of wound infections, primary and secondary, was lessened. The most frequent complications were thrombophlebitis at the site of intravenous perfusion of the antibiotics and hypokaliemia.     

Morphological variations of the human gastric mucosa after omeprazole treatment: a scanning electron microscopic study

The effects of antiepileptic drugs on cognitive function in 48 healthy volunteers were assessed using event-related potentials (ERP) and the Attention Index included in the Wechsler Memory Scale, revised edition (WMS-R). The study was conducted over 1 week, using a double-blind design. Four drugs, carbamazepine (CBZ), phenytoin (PHT), valproate (VPA) and zonisamide (ZNS) were tested. Using an auditory oddball task, ERP measurements were made under two conditions with different tone intensities: Condition 1 used 70 db SPL; and Condition 2 used 30 db SPL. Results showed that CBZ prolonged target N1 and P3 latencies in Condition 1, and reduced frequent N1 amplitude in Condition 2, which suggests that CBZ may cause a change in sensory memory and prolong stimulus evaluation time. It is suggested that under a low stimulus intensity level, the sensory function itself was affected. Phenytoin was found to prolong target N1 latency in Condition 2, which also indicates a change in the sensory memory function. However, VPA did not significantly affect ERP components, except for the shortened frequent N1 latency, which could not be explained due to the limited information. It was found that ZNS augmented P3 amplitude in Condition 2, and reduced scores on the Attention Index. It is suggested that the augmentation of P3 amplitude was caused by the reduction of processing negativity as a result of the detrimental effect of ZNS on subjects' attention. However, the apparent difference between the ERP and behavioral indices suggests that caution should be exercised in assessing the results obtained only from ERP measurements.     

Fluoride toxicity: a biochemical and scanning electron microscopic study of enamel surface of rabbit teeth

The present study has been carried out to investigate the effect of fluoride toxicity on the morphology as well as inorganic chemical constituents of rabbit teeth. Rabbits were administered sodium fluoride at a dose of 10 mg NaF/kg body weight every 24 h for 18 and 23 months. The incisor and molar teeth (whole tooth) were investigated for fluoride, calcium and phosphorus content in 18- and 23-month treated animals. The enamel surfaces of incisor teeth of 23-month treated animals were examined under scanning electron microscope. A significant increase in fluoride levels and significant decrease in calcium content was found following fluoride administration for 18 and 23 months as compared to control. Ca/P ratio was significantly increased only in 23-month treated animals. The scanning electron micrographs revealed hypoplastic, rough, uneven, pitted and cracked enamel surfaces covered with granular deposits as a result of excessive intake of fluoride. It can be concluded that long term fluoride administration leads to severe structural alterations on the enamel surface, possibly through defective mineralization.     

Microvasculature of the dorsum of the rat tongue: a scanning electron microscopic study using corrosion casts

The purpose of this study was to examine the microvascular system of the dorsum of the rat tongue in relation to the subepithelial connective tissue relief. Methylmethacrylate corrosion casts of the vasculature as well as specimens in which the epithelium had been removed were prepared and examined by scanning electron microscopy (SEM). The SEM images revealed four distinct layers in the vasculature of the lamina propria. Superficially, Layer 1 comprised the irregularly shaped ends of capillary loops. Layer 2 consisted of parallel ascending and descending capillaries. These two layers were drained by the subjacent Layer 3, a fish-net-like venous plexus. More deeply, Layer 4 contained arterioles ascending from the muscular layers of the tongue. The vessels of larger papillary structures formed cylindric networks supplied by several arterioles and drained through a single venule to the venous plexus in Layer 3. At their base, the capillary loops often showed a constriction, suggestive of a sphincter. Arteriovenous anastomoses were rare. The epithelium-connective tissue interface showed short conical papillae as well as larger papillary structures which corresponded in both distribution and size to the capillary loops found in the vascular casts. The results confirm that the tongue is highly vascularized and demonstrate that the vascular supply to the papillae, taste buds, and other surface structures forms a highly organized and specific system which is adapted to the specific functions of this organ in the rat.     

A new cell type in the taste buds of anurans. A scanning and transmission electron microscopic study

A hitherto undescribed cell type within the fungiform papillae of the tongue of the toad, Bufo bufo (L.) and the taste-disks of the soft palate of Bombina variegata L. was identified by means of scanning and transmission electron microscopy. This cell type is characterized by an apical protrusion carrying numerous microvilli. Bundles of filaments are present in the cytoplasm of the protrusion. Vesicles with electron lucent content and microtubules are present thoughout the cytoplasm of the cell.     

Organization of the blood and lymphatic microvasculature of the gallbladder in the guinea pig: a scanning electron microscopic study

Fasciola hepatica adult worm cysteine proteinases were active-site, affinity radio-labeled with benzyloxicarbonyl-L-tyrosine-L-alanine diazomethylketone (Z-Tyr125I-Ala-CHN2). Sera from patients with fascioliasis and from rabbits experimentally infected with F. hepatica immunoprecipitated the radiolabeled parasite cysteine proteinases in immunoelectrophoresis assays. Two purified antigens were identified as part of the complex mosaic of antigens immunoprecipitated by the sera of infected patients. These antigens (Fas1 and Fas2) have been shown to be an important part of the Fharc2 precipitin band used for serologic diagnosis in humans and cattle. They showed cysteine proteinase activity with different proteolytic specificities and partial identity in double immunodiffusion assays. The results obtained in this work show that the Fas1 and Fas2 antigens are sensitive and specific antigens for diagnosis of this serious helminthic disease in humans and other susceptible hosts.     

A scanning and transmission electron microscopic study on rat bone marrow sinuses and transmural migration of blood cells

Bone marrow sinuses of young rats were examined under the scanning (SEM) and transmission electron microscopes (TEM). Marrow sinus wall was composed of three layers: an inner or luminal endothelium, an outer or adventitial cell layer, and a basal lamina in between. The luminal surface of the endothelial cells was quite smooth and showed some fenestrations, which could be divided into two types according to their size. One was represented by larger fenestrations (1-3 mum in diameter) which were presumed to be formed transiently at the site of blood cell migration, while the other by small pores (0.1 mum) grouped into a cribriform area. The adventitial cells showed a discontinuous layer in the TEM. Under the SEM, the discontinuity corresponded to the spaces formed between the cytoplasmic attenuations of the cells. Blood cell migration from the extravascular hemopoietic tissue into the sinus lumen was numerously observed. The migration occurred not through an intercellular gap, but through the larger intracellular fenestration of the endothelial lining mentioned above. A number of megakaryocytes were identified by their bulky cytoplasm in the parenchyme. Figures suggesting the sequence of platelet liberation from this cell could be demonstrated. First, the megakaryocyte extended its peripheral cytoplasmic processes into the sinus through endothelial fenestrations. The processes, being conspicuously extended, became periodically constricted. Finally, platelets were believed to be produced by separation at the constricted portions and liberated to circulation. The occurrence of a few endothelial fenestrations apparently unassociated with blood cell migration may possibly be ascribed to detachment of a blood cells due to vascular perfusion. The functional significance of the adventitial cell was discussed in association with blood cell migration.     

The effects of a single course of a calculus-softening scaling and root planing gel. A scanning electron microscopic study

The effect of a calculus scaling gel was evaluated as an adjunct to instrumentation in a double blind, split-mouth, clinical study. Fifteen comparable periodontally involved teeth from 5 patients were instrumented on the mesio-buccal root surface with the aid of either the test gel, placebo gel, or no gel until smoothness was achieved. Test or placebo gel was applied subgingivally for 10 minutes. Instrumentation time, ease, number of strokes, and gingival/tooth surfaces changes were recorded. Scanning electronic microscopic (SEM) evaluation of root surface topography was evaluated. The results demonstrated effective calculus removal in all treatment groups with no differences found between them. Instrumentation time, ease, and number of strokes were similar for all treatment groups. There were no harmful effects to soft or hard tissues. The results of this study do not support the use of calculus scaling gel as an adjunct to root instrumentation.     

A scanning electron microscopic study of the cleansing effectiveness of three irrigating modalities on the tubular structure of dentin

This is a scanning electron microscope study of the cleaning effectiveness of three irrigating modalities on root dentin. When hydrogen peroxide was followed by sodium hypochlorite, it effectively cleaned the dentinal tubules of the root. When RC-Prep was reacted with sodium hypochlorite, it proved to be a more efficient irrigating method than the hydrogen peroxide and sodium hypochlorite solution. When a new improved RC-Prep with 15% carbanide peroxide was reacted with sodium hypochlorite, it proved to be a superior cleansing method for root dentin.     

A method for measuring microstructural-scale strains using a scanning electron microscope: Applications to γ-titanium aluminides

This article introduces a new technique for measuring strains on the scale of the microstructure using a scanning electron microscope (SEM) and an in-situ tensile stage. A grid of markers is deposited on the polished surface of a tensile sample. The method then compares a reference image of the undistorted material with an image taken after deformation. A convolution operation determines the location of each of the markers in both images, from which the marker displacements and surface strains follow. Displacement accuracies of 0.01 image pixels are attainable. We have applied this method to cast γ-TiAl-based alloys. The properties of these alloys depend sensitively on the microstructure, which can vary widely in morphology and scale. The surface-displacement mapping technique is effective for identification of microstructural features that affect the local straining and resulting properties in this class of intermetallics.     

The effects of kinetic variables on the structure of copper deposits cemented on pure aluminum discs: A scanning electron microscopic study

The structural characteristics of copper deposits resulting from copper cementation on pure aluminum are presented. The effect of chloride ion concentration, rotational speed of the aluminum disc, hydrogen ion concentration, copper ion concentration, and temperature on the nature and morphology of the deposits was investigated. Different copper deposit structures, viz. bulbous, massive crystalline, thick dendrites with leaf-like secondary arms, and dendrites of different degrees of fineness and texture were observed in the present study utilizing the scanning electron microscope. Deposit morphology was greatly modified for variations of chloride ion up to 25 mg l^?1 and for increases in temperature up to 40° C. The maximum rate of copper cementation on pure aluminum was usually associated with a fine, dendritic structure.     

Simplifying NFP: preliminary report of a pilot study of the 'collar' method in Brazil

Natural methods of fertility regulation are acceptable in most cultures. Many couples worldwide do not wish to use contraceptives or do not have access to them but wish to limit their family size or lengthen the time between births. Barriers to expanding use of natural family planning (NFP) methods include a lack of providers who can teach NFP and a lack of time to teach and follow couples during the initial months of NFP use. If simple yet effective methods of NFP are available, then NFP could be introduced to a wider audience. Recently, calendar rules have been revised that use a set interval to identify fertile days. These new rules provide better coverage of fertile days and require less abstinence than the rules traditionally used with the calendar method. One of these new rules is being field tested in a pilot study in Brazil. Couples are asked to abstain from day 9-19 (inclusive) of the menstrual cycle, using a beaded necklace (the 'collar') as a mnemonic device. Focus groups with the teacher-monitors and in-depth interviews with female and male users were carried out to evaluate the acceptability of the 'collar' method. A preliminary analysis of these focus groups and interviews from the first site is presented.     

Prophylactic balloon angioplasty fails to prolong the patency of expanded polytetrafluoroethylene arteriovenous grafts: results of a prospective randomized study

PURPOSE: Maintenance of hemodialysis access grafts represents an enormous social and clinical problem. Current grafts and graft salvage techniques are inadequate. Consequently, there has been increasing interest in the use of minimally invasive catheter techniques to prophylactically treat stenoses in functioning arteriovenous grafts. Prophylactic balloon angioplasty has been widely suggested as prolonging assisted primary patency. We have performed a prospective randomized trial to compare patients who underwent percutaneous transluminal angioplasty (PTA) for graft stenoses > 50% with a control group that received no intervention. Our hypothesis was that to be efficacious a minimal benefit of 20% prolongation in patency would be necessary. METHODS: Color flow duplex scanning was used to detect > 50% stenoses in functioning expanded polytetrafluoroethylene grafts. Patients were then subjected to confirmatory angiographic evaluation. Those who had angiographic stenoses > 50% were randomized to balloon angioplasty or observation. Patients were followed-up with duplex scanning every 2 months. Statistical analysis was performed using the Kaplan-Meier technique. Although demographically the patient groups were well matched, there were more prior interventions and concurrent central stenoses in the treatment group. Outcomes were graft thrombosis, graft dysfunction that precluded dialysis, and six or more PTA procedures within 18 months. RESULTS: In the treatment and observation groups, the 6-month patency rates were 69% +/- 7% and 70% +/- 7%, respectively. The 12-month patency rates for the treatment and observation groups were 51% +/- 6% and 47% +/- 4%, respectively. There was no significant difference between these two groups (p = 0.97), with an 80% confidence limit for detection of a difference greater than 20%. CONCLUSIONS: This study demonstrates that a generic approach of PTA to treat all polytetrafluoroethylene grafts with stenoses > 50% does not prolong patency and cannot be supported.