Modelo de simulación de clipado de aneurismas cerebrales de bajo costo, validez aparente y de contenido / 1st Prize Scholarship: Low-cost brain aneurysm clipping simulation model, face and content validity

Objetivo: Presentar un modelo de entrenamiento realista en clipado microquirúrgico de aneurisma cerebral con flujo pulsátil, artificial, accesible y de bajo costo. Evaluar su validez aparente y de contenido. Introducción: La tendencia actual hacia el tratamiento endovascular de aneurismas cerebrales puede reducir la exposición de neurocirujanos jóvenes al tratamiento quirúrgico de estas lesiones durante su formación, afectando la adquisición de habilidades quirúrgicas en este campo. Presentamos un modelo de simulación fácilmente reproducible para clipado de aneurismas cerebrales verificando su validez como herramienta de entrenamiento. Material y métodos: Se utilizó cerebro bovino como alternativa al cerebro humano para simular apertura de surcos. Para la confección de aneurismas se utilizaron arteria y vena femoral de muslo de pollo. Como sistema de micro flujo se utilizó una mini bomba sumergible. Discusión: La simulación con animales vivos se considera entre los modelos más realistas para el entrenamiento en microcirugía, pero las restricciones y su costo limitan su uso, tal como ocurre con los especímenes cadavéricos humanos. Con el propósito de resolver estas dificultades, desarrollamos un modelo de bajo costo y lo usamos para similar el clipado de aneurismas cerebrales. Diez neurocirujanos experimentados utilizaron el mismo y luego completaron una encuesta para evaluar su potencial beneficio. Conclusión: Hemos presentado un nuevo modelo de simulación para el clipado microquirúrgico de aneurismas cerebrales utilizando materiales accesibles y económicos. Creemos que el mismo resulta útil y fácilmente reproducible para la práctica y el aprendizaje de la técnica microquirúrgica para neurocirujanos en formación

Objective: To show a realistic and accessible training model for cerebral aneurysm clipping with a pulsatile flow. To determine its face and content validity. Background: The current trend towards endovascular treatment of brain aneurysms may have a negative impact on young neurosurgeons who are less exposed to these lesions, thus affecting the acquisition of surgical skills in the field. We introduce an easily reproducible simulation model for clipping of cerebral aneurysms and we assess its validity as a training tool. Material and methods: A fresh bovine brain is used to simulate microsurgical fissure dissection. Arterial and aneurysmal components are created with arteries and veins harvested from chicken thigh. For the micro flow system, a submersible mini-pump was employed. Discussion: Live animal simulations are considered among the most realistic training models but restrictions and the facilities costs limit their use, just as with human cadaveric specimens. With the aim of addressing these issues, we developed a low-cost model with the use of a micro flow pump and used it for simulation of aneurysm clipping. Ten neurosurgeons performed the simulated clipping of the aneurysm and were administered a questionnaire following the procedure. Conclusion: We present a novel, realistic, inexpensive and easily reproducible simulation model for the clipping of brain aneurysms. This model was partially validated by the opinion of field experts. We believe this model has the potential of becoming a useful training tool for young neurosurgeons

Experimental study of the compositive applying of nourishing Piyin Remedy and bovine brain extract on spinal cord injury of rats / 中国康复理论与实践

@# ObjectiveTo study the effect and mechanisms of nourishing Piyin Remedy (nPR) and bovine brain extract (bBE) on experimental spinal cord injury (SCI) of rat.Methods80 healthy SD rats were divided into 5 equal groups randomly: bBE group supplied through subarachnoid cavity, normal saline (NS) group supplied through subarachnoid cavity, nPR group, NS orally taken group, combined group. Animal models were made by Allen's equipment on T8～T9 segment. The spinal nerve function, somatosensory evoked potentials (SEP), retrograde and label technique of horseradish peroxidase, gross observation, histological and morphometric analysis were taken as the observed indices.ResultsThe values of observed indices of bBE group and nPR group improved evidently compared with their own control groups; that of combined group was prior to sole administration.ConclusionnPR can hold back the secondary SCI and accelerate the recovery of spinal nerve function; bBE can stimulate the improvement of injuried nerve fibers; the joint of nPR and bBE can make a synergic effect.

Experimental Immune-Mediated Hearing Loss / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: In 1979, MaCabe described the autoimmune sensorineural hearing loss generally characterized by bilateral progressive sensorineural hearing loss over weeks to months. He also described steroid responsiveness of heaing loss. Since then, numerous attempts have been tried to investigate autoimmune inner ear disease. But, there is insufficient information concerning pathophysiology and no reliable laboratory tests are available for diagnosis. In this study, we immunized healthy rats with bovine brain antigen, and monitored auditory brainstem response threshold shifts and serum antibody titer especially antibody to 68 kD protein, and observed histologic changes to develop animal model and to investigate pathophysiology of inner ear autoimmunity. MATERIALS & METHODS:We used 15 female Wistar rats weighing 200 g to 250 g. Three of them (as control group) were immunized with bovine serum albumin and the rest were weekly immunized with bovine brain antigen 3 times. After the antigen challenges, animals were sacrificed at 1st, 2nd, 4th or 8th week after collection of serum and ABR test. Hearing was evaluated by ABR prior to each immunization and at 1st, 2nd, 3rd, 4th, 6th or 8th week following immunization. Collected sera were analyzed by Western blotting immunoassay against fresh bovine brain antigen preparation. RESULTS: On ABR, hearing threshold shifts of 10 to 40 dB were recorded and shifts of greater than 20 dB were recorded in 8 ears (33.3%) of 24 ears. On Western blot assay, a band at 68 kD M.W. was observed with high binding activity at 1st week through 4th week following immunization. Cellular infiltration was observed in the are as adjacent to the spiral modiolar venules in the cochlear modiolus and in the spiral ganglion cells in a scattered pattern. CONCLUSION: These results suggest that bovine brain antigen can induce autoimmune inner ear disease in experimental animals and that inner ear autoimmunity may play an important role in the development of inner ear disorders and hearing loss.

Anomer specificity of the 14 kDa galactose-binding lectin: A reappraisal.

A β-anomer preference among galactosides has been attributed to the S-type 14 kDa galactose binding lectin. Here the anomeric preference of this lectin from bovine brain (BBL) is reexamined using inhibition of lectin-mediated haemagglutination, binding of the lectin to dot-blotted glycoproteins and affinity electrophoresis of the lectin through polysaccharide-containing gels. 1·0-methyl α-D-galactoside was 8 times better inhibitor of BBL than the corresponding ß-anomer. The terminal galactose in bovine thyroglobulin (exclusively. α-linked) were also nearly 8 times more inhibitory than those in asialofetuin (exclusively ß-linked). The terminal α-galactose-containing endogenous glycoproteins of bovine brain were nearly 4 times better inhibitors of BBL than laminin. Removal of terminal α-galactose units by α-galactosidase fully abolished the BBL binding of thyroglobulin and endogenous glycoproteins. BBL was also sugar-specifically retarded by polyacrylamide gel containing guar galactommannan which bears only α-linked galactose. Data indicated that α-galactosides were sometimes better than their β-anomers in binding to BBL. The significance of this observation to the physiological role of galactose-binding lectins is discussed.