RM Bashir  FH al-Kawas 《Canadian Metallurgical Quarterly》1996,6(4):709-738

The most common cause for gastrointestinal bleeding of small bowel origin is angiodysplasia, followed by tumors of the small intestine, and various other causes, including small bowel ulcers and aortienteric fistulas. With the advent of improved diagnostic tests, including push and sonde enteroscopy, timely endoscopic diagnosis of these rare small bowel lesions has become possible, enabling the clinician to make better therapeutic decisions. This article focuses on the rare small bowel sources of intermittent and chronic gastrointestinal blood loss.  相似文献   

    

MD Rekhter  N Shah  RD Simari  C Work  JS Kim  GJ Nabel  EG Nabel  D Gordon 《Canadian Metallurgical Quarterly》1998,98(13):1335-1341

BACKGROUND:Smooth muscle cell (SMC) replication plays a central role in the pathogenesis of transplant arteriosclerosis. One strategy to eliminate dividing cells is to express a herpesvirus thymidine kinase (tk) gene that phosphorylates the nucleoside analogue ganciclovir into a toxic form leading to cell killing. However, medial SMCs are resistant to gene transfer unless the artery undergoes deendothelialization. We hypothesized that manipulations that increase the \"porosity\" of the artery can make SMCs prone to gene transfer without denudation. METHODS AND RESULTS:In organ culture of rabbit aorta, longitudinal stretch and supraphysiological pressure applied for 3 hours during incubation with adenoviral vector facilitated gene transfer into medial SMCs without denudation. Of the SMCs, 10.2+/-3.8% expressed a reporter gene of human placental alkaline phosphatase (hpAP), whereas SMCs in control arteries did not express hpAP. To evaluate the feasibility of transgene expression in arterial grafts, we performed such permeabilization-assisted reporter gene transfer into aortas of donor Dutch Belted rabbits and transplanted them into carotid arteries of recipient New Zealand White rabbits. Unstretched transfected grafts were used as a control. SMCs expressed hpAP (7. 3+/-2.4% of cells in 2 days and 4.2+/-1.9% in 2 weeks) in stretched grafts only. In the next series of experiments, we transfected stretched grafts with ADV-tk and combined transplantation with systemic administration of ganciclovir. Stretched ADV-hpAP grafts were used as a control. In 2 weeks, the formation of intimal thickening in tk-expressing grafts was significantly reduced (P<0. 01) because of a decrease in proliferating SMCs. CONCLUSIONS:Manipulations within target tissues can enhance the efficiency of gene transfer into SMCs. Although mechanical permeabilization is clinically problematic, in principle, targeting SMC replication may provide a genetic approach to the treatment of transplant arteriosclerosis.  相似文献   

    

RM Feibel  PL Custer  MO Gordon 《Canadian Metallurgical Quarterly》1993,100(5):660-665

PURPOSE: A randomized, double-masked study of 317 patients was conducted to determine if the incidence of postcataract ptosis is greater with retrobulbar or two-injection peribulbar injection anesthesia. METHODS: Surgery consisted of a planned extracapsular extraction with posterior chamber lens implantation, and no superior rectus bridle suture was used. Ptosis was quantitatively documented preoperatively and postoperatively at 1, 2, 5, and 90 days by the surgeon, photographically at 90 days by a masked observer, and subjectively by the patients. Postcataract ptosis was defined as a drop in the lid margin of 2 mm or greater after correcting for any change in the fellow eye. RESULTS: The incidence of ptosis at 90 days in patients given peribulbar anesthesia was 5.8% and in patients given retrobulbar anesthesia 5.5%, and this difference was not statistically significant (P = 0.90). Eighteen percent of patients in both groups reported a change in the appearance of their eyelids. There was a moderate, positive correlation among patients who reported a change in their lid position and objective measurements of ptosis. Preoperative clinical measurements of vertical lid fissure width and levator function, and the appearance of the lid crease or superior sulcus were not predictive for the development of postoperative ptosis at 90 days; the best predictor was the presence of ptosis in the immediate postoperative period. CONCLUSION: The incidence of postcataract ptosis is the same whether two injection peribulbar or retrobulbar anesthesia is used.  相似文献   

    

VF Rafuse  T Gordon 《Canadian Metallurgical Quarterly》1996,75(1):282-297

1. The technique of glycogen depletion was used to determine whether regenerating motor axons reestablish the normal regionalization of motor units (MUs) in the cat medial gastrocnemius (MG) muscle, 2) whether the extent of clumping between MU fibers and/or type grouping of muscle fibers progressively increases with a decrease in reinnervated MU numbers, and 3) whether the pattern of innervation can explain why MUs fail to increase significantly in size when the cut nerve is sutured directly to the muscle, even when few axons make functional connections. 2. Distributions of MU fibers were analyzed in 5 normal and 14 reinnervated cat MG muscles 4.5-16 mo after sectioning of its nerve and suturing of the proximal end to the distal nerve sheaths (N-N suture) or directly to the muscle fascia (N-M suture). Muscle unit distributions were quantified according to location, territory size, density, and extent of clumping between fibers from the same MU. 3. Normal MU fibers were regionalized within five regions along the muscle's longitudinal and transverse axes. Reinnervated MUs were located within similar regions, indicating that regenerating axons follow the major proximal nerve branches to restore normal compartmentalization. 4. Muscle unit fibers were diffusely scattered within discrete MU territories in normal muscles. Territory size tended to increase with MU size, whereas density of muscle unit fibers within the territory decreased. 5. Territories increased with MU size after N-N suture but were smaller and showed little size variation after N-M suture. The extent of muscle unit fiber clumping was inversely related to the number of reinnervated MUs. On average, the extent of clumping was substantially higher in muscles reinnervated after N-M suture. These results indicate that distal nerve sheaths facilitate proximal axon branching, which establishes MU territory size. Once the territory is established, motor axons branch distally to increase MU size, which in turn compensates for reduced MU numbers. 6. Muscles reinnervated by < 80% of the MUs exhibited fiber type grouping of type I fibers, and on average the extent of clumping was substantially higher in muscles reinnervated after N-M suture. With less innervation, type grouping increased inversely with the number of reinnervated MUs. However, for a similar number of MUs, type I fiber type grouping was substantially higher in muscle reinnervated after N-M suture. Type grouping therefore reflects muscle unit fiber clumping under conditions where MU size increased (N-N suture) or MU territory size decreased (N-M suture).  相似文献   

    

KR Schulte  FH Fu 《Canadian Metallurgical Quarterly》1996,15(3):455-467

The frequent occurrence of degenerative joint disease following complete or partial meniscectomy is well recognized. Meniscal repair has been shown to lead to a lower prevalence of degenerative changes in the knee. Arthroscopically assisted inside-to-outside meniscal repair is a safe, reproducible technique for for salvaging the torn meniscus.  相似文献   

    

WP Farrar  S Bech-Nielsen  JC Gordon  SM Reed  CI Pretzman  CW Kohn 《Canadian Metallurgical Quarterly》1993,34(4):345-353

A sulfate-reducing bacterium using trinitrotoluene (TNT) as the sole nitrogen source was isolated with pyruvate and sulfate as the energy sources. The organism was able to reduce TNT to triaminotoluene (TAT) in growing cultures and cell suspensions and to further transform TAT to still unknown products. Pyruvate, H2, or carbon monoxide served as the electron donors for the reduction of TNT. The limiting step in TNT conversion to TAT was the reduction of 2,4-diamino-6-nitrotoluene (2,4-DANT) to triaminotoluene. The reduction proceeded via 2,4-diamino-6-hydroxylaminotoluene (DAHAT) as an intermediate. The intermediary formation of DAHAT was only observed in the presence of carbon monoxide or hydroxylamine, respectively. The reduction of DAHAT to triaminotoluene was inhibited by both CO and NH2OH. The inhibitors as well as DANT and DAHAT significantly inhibited sulfide formation from sulfite. The data were taken as evidence for the involvement of dissimilatory sulfite reductase in the reduction of DANT and/or DAHAT to triaminotoluene. Hydrogenase purified from Clostridium pasteurianum and carbon monoxide dehydrogenase partially purified from Clostridium thermoaceticum also catalyzed the reduction of DANT in the presence of methyl viologen or ferredoxin, however, as the main reduction product DAHAT rather than triaminotoluene was formed. The findings could explain the function of CO as an electron donor for the DANT reduction (to DAHAT) and the concomitant inhibitory effect of CO on triaminotoluene formation (from DAHAT) by the inhibition of sulfite reductase.(ABSTRACT TRUNCATED AT 250 WORDS)  相似文献   

    

Gordon E. Hartzell 《Fire Safety Journal》1987,12(3):179-182

Evaluating the toxic hazard of fire gases has been an area of recent interest. Units of measure for toxic hazard based on the concept of dose are presented. The role of carbon monoxide and hydrogen cyanide as principal toxicants in combustion products is reviewed. The importance of the time-related aspects of smoke transport and exposure to the toxicants is discussed.  相似文献   

    

Susan C. Turbak  Susan B. Olson  Gordon A. McFeters 《Water research》1986,20(1):91-96

The EPA Bottle Test was compared to a short-term algal bioassay method (Oxygen Evolution Assay) for detecting waterborne herbicides and metals. Although the Bottle Test proved to be a more sensitive assay system, the responses of the two bioassays correlated well. The Oxygen Evolution Assay may be useful as a rapid preliminary screening method for determining which chemicals should undergo further testing. In both bioassays, differences were observed in the results of experiments conducted in the standard algal growth medium and in nutrient-enriched water samples, suggesting that water chemistry plays an important role in the determination of specific toxicity thresholds for algae.  相似文献   

    

Gordon McKay  Murad J. Bino  A. Altememi 《Water research》1986,20(4):435-442

A wide range of experimental studies are reported for the adsorption of phenol and p-chlorophenol onto activated carbon—Type Filtrasorb 400—in an agitated batch adsorber. A model has been used to determine the external mass transfer coefficient for the systems and the effect of several experimental variables have been investigated: these include agitation, initial pollutant concentration, carbon mass, carbon particle size and solution temperature. The mass transfer coefficient has been correlated in terms of the dimensionless Sh/Sc^0.33 against each variable. The Sherwood number, Sh = k_fR/D_mol, relates the external mass transfer coefficient k_f to particle radius, R, and molecular diffusivity, D_mol. The Schmidt number, Sc, is the ratio of kinematic viscosity, v, to molecular diffusivity. A few results are also reported for the adsorption of sodium dodecyl sulphate and mercuric ions onto activated carbon.  相似文献   

    

Rein Otson  Gordon L. Polley  John L. Robertson 《Water research》1986,20(6):775-779

The contribution from impurities in chlorine to levels of chlorinated organics found in potable water after chlorination was investigated. Techniques for sampling of chlorine and gas chromatography (GC) determination of chlorinated organics in chlorine are described. The detection limits were better than 1 ppm for each of chloromethane, dichloromethane, chloroform, carbon tetrachloride, trichloroethylene, tetrachloroethylene, hexachloroethane, hexachloropropane and hexachlorobenzene in chlorine. With the exception of chloroform which occasionally accounted for nearly 1 μg l⁻¹ in water, the levels of the nine compounds in chlorine accounted for less than 0.1 μg l⁻¹ of each compound in chlorinated water from 10 Canadian treatment plants. The occurrence of these nine and 28 additional chlorinated organics previously detected in water supplies was determined by aid of liquid-liquid extraction of water samples. Seven compounds, including chloroform, carbon tetrachloride, trichloroethylene and tetrachloroethylene were detected, usually at levels ranging from 0.1 to 1 μg l⁻¹ in chlorinated water from the treatment plant.  相似文献