ABSTRACT
Retained surgical mop in the abdominal cavity is a serious butavoidable complication which may manifest either as aninflammatory reaction with formation of abscess and fistula orwith a fibrotic reaction developing into a mass. We report thecase of a 25 years old women who presented four monthsafter a Caesarean section with features of intestinalobstruction. Plain abdominal radiograph and ultrasound scanraised high index of suspicion of the presence of gossypibomaand the diagnosis was confirmed at laparotomy. Even after 2ndand 3rd look surgery, the patient faced a sad demise.Gossypiboma, term derived from the latin ‘gossypium’ (cotton)and the swahilli ‘boma’ (place of concealment) is the term formretained surgical sponge. Two usual responses to retainedmops are exudative inflammatory reaction to develop a mass.Intraluminal migration is rare, leading to obstruction. Patientmay develop symptoms of abdominal pain, nausea, vomitingand weight loss resulting from obstruction or a malabsorptionsyndrome caused by multiple intestinal fistulas or intraluminalbacterial overgrowth. Early recognition of this entity will ensureprompt diagnosis and appropriate treatment, reducingmorbidity and mortality in such patients.
ABSTRACT
@# OIiier disease is a rare nonhereditary disorder characterized by multiple enchondromas in which malignant changes may occur. We report the case of a 15-year-old male with Ollier disease who presented with a large mass in the left upper arm for several months. Radiography revealed hugelytic mass in the proximal half to two-thrids of the left humerus. Bone scan showed irregularly increased tracer uptake in the head to mid shaft of the left humerus that is suggestive of malignant disease. Pathology analysis demonstrated proximal humeral chondrosarcoma, grade 1. In Ollier disease, bone scan may be used for monitoring the lessions with suspicion for malignant transpormation.
Subject(s)
Chondrosarcoma , EnchondromatosisABSTRACT
This study evaluated the influence of nitrogen additions in the oxygen uptake during decomposition of Scirpus cubensis, through laboratory assays. The dissolved oxygen, pH, electrical conductivity (EC) and water temperature were measured. The results showed an initial acidification that decreased gradually, indicating great release of reduced organic matter and subsequent CO2 formation. The decomposition chambers with greater nitrate concentrations exhibited higher pH mean values. The temporal variation of EC showed a small increase and an abrupt increase with increasing nitrate concentrations. The maximum oxygen uptake increased up to 6.37 mg L-1 of nitrate, then decreased. The deoxygenation rate showed an opposite trend from that observed for the oxygen uptake. The coefficients and maximum oxygen consumption related to the particulate detritus mineralization tended to increase with increasing nitrate concentration. The increase in nitrate levels affected the decomposition of each organic matter fraction in different ways, with the particulate organic matter being more easily degraded in richer nitrate concentrations than the dissolved organic matter.
Neste estudo, avaliou-se a influência de adições de nitrogênio no consumo de oxigênio durante a decomposição de Scirpus cubensis, por meio de ensaios de laboratório. Foram determinados: as concentrações de oxigênio dissolvido, o pH, a condutividade elétrica e a temperatura da água. Os resultados mostraram acidificação inicial que diminuíram gradualmente, indicando grande liberação de matéria orgânica reduzida e formação subseqüente de CO2. As câmaras de decomposição com maiores concentrações de nitrato apresentaram valores de pH mais alto. A condutividade elétrica mostrou pequeno incremento com o passar do tempo e aumento abrupto com a intensificação das concentrações de nitrato. O consumo de oxigênio máximo global aumentou até a concentração de nitrato de 6,37 mg L-1, depois decresceu. Os coeficientes globais de consumo de oxigênio apresentaram uma tendência oposta às quantidades máximas de oxigênio consumido. Os coeficientes de consumo de oxigênio, relacionados com a mineralização das frações particuladas, tenderam a aumentar com a elevação da concentração de nitrato. O aumento do nível de nitrato afetou diferentemente a decomposição das frações da matéria orgânica; a matéria orgânica particulada foi mais facilmente degradada do que a dissolvida em presença de maiores concentrações de nitrato.
ABSTRACT
La Mieloperoxidasa (MPO) y la Proteína C Reactiva (PCR) han sido implicados en la fisiopatología de la aterosclerosis. El objetivo del presente estudio fue determinar las concentraciones plasmáticas de MPO y PCR y su relación con la formación de ateromas en conejos. Se estudiaron 23 conejos machos Nueva Zelanda: Grupo 1: conejarina y verdura; Grupo 2: Huevo y conejarina. El periodo experimental duró 13 semanas. Se determinó perfil lipídico por métodos enzimáticos, MPO por ELISA y PCR por turbidimetría en 0 13va semana. Se realizó estudio histológico de aorta. Los resultados revelaron que la PCR se elevó en el grupo 2 al final del estudio (p<0,05). No se observó diferencias en MPO en el grupo 2 en el estudio. En cuanto a los ateromas se evidenciaron lesiones tipo I y II en los conejos del grupo 2. En conclusión, se encontró que la PCR y no la MPO son marcadores de aterosclerosis según nuestras condiciones experimentales.
Myeloperoxidase (MPO) and C-reactive protein (CRP) have been implicated in atherosclerosis. The objective of the present study was to determine plasma concentration MPO and CRP and its relationship of formation of aortic lesions in rabbits. 23 male New Zealand rabbits were study: Group 1: conejarina (commercial rabbit food) and vegetables; Group 2: egg and conejarina. The experiment lasted 13 weeks. Lipid profile was done by enzymatic methods, MPO by ELISA, and PCR by turbidimetry in weeks 0 and 13. Histological study of rabbits aorta was done. Results revealed that in group 2 CRP increased at final study (p <0.05). No differences were observed in MPO values in the experiment. Regarding atheroma, group 2 presented type I and II lesions. In conclusion only CRP is marker of atherosclerosis according to our experimental conditions.
Subject(s)
Male , Animals , Rabbits , Atherosclerosis , Diet, High-Fat/methods , Oxidation , Peroxidase/analysis , Peroxidase/blood , C-Reactive Protein/analysis , Plasma Volume/radiation effects , Plasma Volume/physiology , Plasma Volume/veterinaryABSTRACT
To establish a simple and reliable animal model of skin photo-damage, 20 mice were treated with 8-MOP and exposed to UVA (UVA 320-400 nm) for 24 h. After irradiation, the structure of the epidermis and dermis, collagen fibers, elastic fibers were observed by using HE staining and Weigert technique and compared with the normal controls. The acanthosis and epidemis proliferation with accompanying hyperkeratosis and parakeratosis were observed. Inflammatory infiltration was noted in the dermis. The elastic fibers became coarse, irregularly arranged and clustered, with their number increased. The collagen fibers showed obvious degeneration and some amorphous materials could also be observed. The blood vessels were irregularly dilated and vascular walls were thickened, with infiltration of inflammatory cells. It is concluded that murine photodamage model can be quickly, conveniently and reliably established by means of 8-MOP/UVA.
ABSTRACT
BACKGROUND: Psoralen has been used in the treatment of certain hypojigmentary disorders with UVA or solar irradiation. However trecent report proposed the actions of psiralens are direct and do not require the presence of ultraviolet light. The report also suggested that tze specific receptors other than DNA would be present. OBJECTIVE: This study was done ta identify the effects of 8-methoryporalen(8-MOP) on the proliferation and melanization of cultured normal human melanocytes without UVA. METHODS: Melanocytes were cultured in melanocyte culture medium neluding 16% or 5% FBS. We added 8-MOP by their concentrations from 10 M to 10 M. After 8 hours treatment, we investigated the melanocytes proliferation and Lhe melanin contents. RESULTS: We could not detecet any significant differences of melanoytes proliferation and melanin contents between the control end experimental groups. CONCLUSION: There were no effect on the proliferation and the milanization of cultured normal human melanocytes with 8-MOP only.
Subject(s)
Humans , DNA , Ficusin , Melanins , Melanocytes , Methoxsalen , Ultraviolet RaysABSTRACT
OBJECTIVE:To compare the therapeutic effects of8-methoxypsoralen(8-MOP)liposomal gel with other dosage forms of8-MOP in equal concentration on guinea-pig models of vitiligo.METHODS:The guinea-pigs were divided into normal control,model,8-MOP tincture,8-MOP gel and8-MOP liposome gel groups.The vitiligo model was established by chemical decoloration method in all groups except normal control group,then corresponding preparations were topically ap?plied.The therapeutic effects were compared and the melanogenesis of hair follicles,serum acetylcholinesterases and skin MDA contents were observed in all groups.RESULTS:8-MOP liposomal gel had better therapeutic effects on the animal models,and could improve the dermatic melanogenesis and acetylcholinesterase of the animal model,and also had effect on MDA of skin.The differences between8-MOP liposomal gel group and model group were highly significant(P
ABSTRACT
The skin concentrations of 8-methoxypsoralen (8-MOP), 5-methoxypsoralen (5-MOP), and 4, 5', 8-trimethylpsoralen (TMP) were studied in the guinea pig following oral administration and bathing. The skin concentration of phototoxic drugs after oral administration peaked at 1.5 hours, and the concentration of 8-MOP was 3.5 times greater than that of 5-MOP. The skin concentration of TMP was not detected in our study (limit of sensitivity 5ng/ml). The skin concentrations of phototoxic drug after bathing decreased in the order of 5-MOP, TMP, and 8-MOP
Subject(s)
Administration, Cutaneous , Administration, Oral , Animals , Guinea Pigs , Methoxsalen/administration & dosage , PUVA Therapy , Skin/chemistry , Trioxsalen/administration & dosageABSTRACT
One hundred sixteen C57 BL mice were painted with either 8-MOP, 5-MOP or TMP solution in concentrations of 0.02%, 0.1%, and 0.5% each and UVA irradiated. Skin biopsies were performed at 1, 3, 5 and 7 weeks after LJVA irradiation. The results measuring the number, area, and perimeter of the melanocytes after topical PLJVA were higher in the TMP-painted group than in the 8-MOP or 5-MOP painted groups. In all groups, the weekly changes showed an increasing value through five weeks. In comparing the drug concentrations used, 0.1% of chemicals produced the same or higher values than 0.5%. There have been few studies on the effects of 5-MOP in photochemotherapy. In tho study 5-MOP produced a pigment-producing effect similar to 8-MOP. Therefore, if topical PIJVA with 5-MOP is used in clinical practice, we could expect a significant therapeutic effect in vitiligo.
Subject(s)
Animals , Mice , Biopsy , Melanocytes , Methoxsalen , Paint , Photochemotherapy , Skin , Thymidine Monophosphate , VitiligoABSTRACT
Among ]20 vitiligo patients who visited our clinic during the period of January 1984 to February 1985, 39 patients were treated with oral methoxsalen (8-MOP) and UVA for more than 6 months, The following conclusions were obtained by analysis of the clinical histories and efficacy of PUVA treatment: 1. The mean age of 39 patients was 31 and that of onset was 21. An average of 1() years elapsed from the onset of the disease prior to visiting our clinic. The initial involvement was observed, in decreasing order of frequency, on the trunk, face and/or neck and extremities. 3, The repigmentation started most frequently from the trunk followed by the extremities, face and/or neck after treatment of 2 months and 14 irradiations on the average. 4, There was a direct relationship between the frequency and duration of treatment and its effectiveness. 5. The trunk showed the best response to the treatment, followed by the extremities; face and/or neck. The most resistant sites were the the hand and/or foot. 6. No specific relationship was found between the patient's age, duration of illness and responsiveness to the treatment. 7. The side effects were minimal and transient.