Destructive granulomatous reaction to polyacrylamide lip injection: solution for a complex case.

The inappropriate and careless use of permanent fillers causes severe and undesirable side effects, as shown by a number of reported clinical cases. The dramatic case described in this report strongly demonstrates that inadequate knowledge of implanted materials has a heavy impact on the patient's health and his or her desired results. Both are aspects that sometimes prove very difficult to ameliorate. Moreover, the solution for the reported case clearly demonstrates that only the careful application of fine surgery can solve these problems. This is true also for cases initially believed to be hopeless.

A vast intranasal filler-induced granulomatous reaction: a case report.

The widespread and inappropriate use of permanent fillers has given rise to several problems. The reported case clearly demonstrates that inadequate knowledge of the surgical technique and the material implanted has a heavy impact on the postoperative outcome. The application of fine surgical techniques and adequate knowledge of the materials can solve and prevent these problems.

[Experimental model for the evaluation of topical application of a solution to help myocutaneous flap transposition]. / Modèle expérimental pour l'évaluation d'une solution topique améliorant la survie des lambeaux myocutanés.

The aim of this article is the evaluation of the topical application of a solution of hydrogen peroxide (H2O2) 8% and dimethyl sulphoxide (DMSO) 50% in order to reduce ischaemic failure in random skin flaps. This study was performed using a rabbit model. Two parallel, cephalad-based para-midline random cutaneous flap (10 cm x 2.5 cm) were elevated and resutured in place on the dorsum of 40 New Zealand rabbits. The 80 flaps thus obtained were then randomly divided into one control group and three experimental groups of 20 flaps each. Flaps from the control group (group A) were topically treated with saline, while flaps from experimental group B were treated with H2O2 8%, flaps from experimental group C with DMSO 50%, and flaps from experimental group D with a solution of 50% DMSO + 8% H2O2. Each solution was topically applied, 20 cc per three times a day, on the flaps for seven days, starting on the immediate postoperative period. Transcutaneous oxygen tension (Ptc O2) measurements were carried out in all flaps, 72 h after flap elevation. The percentage of surviving skin area of each flap was determined by planimetry 7 days after flap elevation. The mean surviving area of the group A (control) flaps was 71%. The mean surviving area of the group B (H2O2-treated) flaps was 72%. The mean surviving area of the group C (DMSO-treated) flaps was 76%, and that of the group D (DMSO + H2O2-treated) flaps was 92%. While no statistically significant differences were found between the survival rates of both the flaps treated with H2O2 or DMSO alone and that of the control group, the mean surviving rate of the DMSO + H2O2 treated flaps (+20%) was statistically higher than that of the control flaps. Similarly, a statistically significant difference has been found between the mean Ptc O2 values of the DMSO + H2O2 flaps and those of the other three groups of flaps.

Facile C(sp(2))/OR bond cleavage by Ru or Os.

Os(H)(3)ClL(2) (L = P(i)Pr(3) or P(t)Bu(2)Me) are shown to be useful "precursors" to "OsHClL(2)", which react with vinyl ethers to form first an eta(2)-olefin adduct and then isomerize to the carbenes, OsHCl[CMe(OR)]L(2). Subsequent R- and L-dependent reactions involve C(sp(2))-OR bond cleavage, to make either carbyne or vinylidene complexes. The mechanisms of these reactions are explored, and the thermodynamic disparity of Ru versus Os and the influence of the OR group and the spectator phosphine ligands are discussed based on DFT (B3PW91) calculations.

Prediction of gestational age by ultrasonic fetometry in llamas (Lama glama) and alpacas (Lama pacos).

Fetal biparietal diameter (BPD) and thorax height (TH) were measured by ultrasound during intrauterine growth in pregnant llamas (Lama glama) and alpacas (Lama pacos). The goal was to establish representative curves that allows estimation of gestational age (GA) from real-time ultrasonic measurements of these fetal structures at any stage of gestation. Llamas and alpacas were mated under controlled conditions. Ultrasound exams were conducted to determine pregnancy status 1 month later. Measurements of fetal BPD and TH were conducted from the second month of pregnancy until term. Observation and assessment of fetal TH was difficult during the last 3 months of pregnancy, specially in llamas. Regression curves were calculated from the data as a function of GA, with the best fit represented by the following equations: llama GA=(BPD-0.002399)43.02293,r=0.98,P<0.001; llama GA=(TH-0.07137)46.94485, r=0.95,P<0.001; alpaca GA=(BPD-0.11376)47.23287, r=0.98,P<0.001; alpaca GA=(TH-0.36436)52.87663, r=0.96,P<0.001, where GA was measured in days and BPD and TH in centimeters. Results indicate that ultrasonic measurement of these fetal biometric variables constitute a valuable tool to estimate GA at any stage of pregnancy in these domestic South American camelids.

[Intraoperative expansion of scalp flaps. Quantitative assessment]. / Espansione intraoperatoria di lembi di scalpo. Valutazione quantitativa.

BACKGROUND: The aim of this study was to test the ex-vivo biomechanical properties of acutely expanded scalp flaps, in order to quantitatively assess the efficacy of acute scalp expansion. METHODS: A total of 14 fresh male cadavers were used for the study. In each cadaver, a rectangular (4 x 10 cm), laterally-based flap was designed on each side of the scalp, starting from the superior margin of the external auditory canal. One randomly-selected flap per each scalp underwent acute-intermittent expansion (3-minute expansion-3-minute rest cycle per three times with the maximal expansion achievable), while the contralateral flap served as control. After the expansion process, the acutely-expanded flaps were measured to assess if the applied biomechanical stress have determined any changes in their dimensions. The biomechanical properties (stress/strain ratio, mean stiffness) of both expanded and control flaps were then assessed by means of a dynamometer and a force-transducer. RESULTS: The obtained data showed that the biomechanical benefits provided by acute scalp expansion were not statistically different (p < 0.05) from those obtained by simple subgaleal undermining. Neither any change of length nor any gain in the compliance have been observed in the acutely-expanded flaps as compared to control scalp flaps. CONCLUSIONS: In our opinion, a possible explanation (to be further validated) for the lack of effect of acute scalp expansion might be that inelastic galea aponeurotica did not allow the mechanical creep to exploit the inherent elastic properties of the overlying scalp skin.

Plasma progesterone in alpaca (Lama pacos) during pregnancy, parturition and early postpartum.

Plasma progesterone concentration during pregnancy and the early postpartum period was measured by radioimmunoassay in five alpacas (Lama pacos), of the Huacaya breed, whose pregnancy length had a mean of 344.8 +/- 4.4 days. Concentration of progesterone increased (P < 0.001) from low premating values (0.11 +/- 0.06 nmol/l) to greater values at 30 days of pregnancy (8.05 +/- 1.13 nmol/l) and remained high up to 2 months of pregnancy. A slight transitory decline was observed between 3 to 7 months. Concentration of plasma progesterone dropped markedly during the 72 h before parturition especially, at the day of parturition.

Early pregnancy diagnosis in alpaca (Lama pacos) and llama (Lama glama) by ultrasound.

An ultrasonography study of early pregnancy diagnosis was carried out in 19 alpacas and 12 llamas, after controlled matings. The aim was to determine the earliest gestational age at which pregnancy diagnosis by transrectal ultrasonography could be achieved, and to generate an empirical formula for gestational sac diameter (GSD) growth as a function of gestational age (GA), allowing an estimate of GA during the first month of pregnancy. We found that pregnancy diagnosis may be carried out as early as 9 days after mating in alpacas and 7 days in llamas. This diagnosis was found to be accurate at 23 days in alpacas and 34 days in llamas. The empirical relations that best describe the relationship between GSD and GA were GA = logGSD + 1.2339/0.0585 r = 0.85; P < 0.001 in alpacas, and GA = logGSD + 1.2649/0.0546 r = 0.77, P < 0.001 in llamas, where GA is measured in days and GSD in centimeters. Our results also indicate that ultrasonography is a reliable technique for early pregnancy diagnosis. Furthermore, the empirical formulae reliably make it possible to estimate GA from GSD during the first month of pregnancy and their use might improve the efficiency of camelid breeders.

Isolation of a bovine uterotropic placental factor and development of an enzyme immunoassay in peripheral serum.

Bovine uterotropic placental factor (bUTPF) was obtained from bovine term placentae that had been homogenized and extracted in acidic medium. The extracts were chromatographed on Sephadex G-75, a fraction named native bUTPF was obtained, and an antiserum was generated. The native bUTPF was chromatographed on Sephacryl S-300 HR, and a 230-kDa fraction was obtained. A competitive enzyme immunoassay (EIA) was developed to determine bUTPF levels during gestation. This EIA was linear between 0 and 80 micrograms/ml (with a detection limit of 0.2 microgram/ml) and showed intraassay and interassay coefficients of variation of 11.2% and 15.5%, respectively. Bovine UTPF serum levels during gestation were determined by means of a cross-sectional study between the first month of gestation and delivery. Maximal serum levels of bUTPF were found during the first month of gestation: 7.1 +/- 1.9 micrograms/ml (p < 0.05). In another cross-sectional study, blood samples were collected from 105 cows between 8 and 25 days postinsemination (day of insemination = Day 0). Levels of bUTPF were found to be significantly higher (p < 0.05) by Day 17 compared to Day 0 (5.8 +/- 2.2 micrograms/ml vs. 1.2 +/- 0.7 micrograms/ml). We conclude that bUTPF is detected by EIA in maternal peripheral serum early during gestation in the bovine species.

Actividad inhibitoria y bactericida de cinco fluoroquinolonas sobre cepas multirresistentes de escherichia coli, acinetobacter baumanni y pseudomonas aeruginosa aisladas en hospitales de ciudades chilenas / Inhibitory and bactericidal activity of 5 fluoroquinolones over multiresistent strains of escherichia coli, acinetobacter baumanni and pseudomonas aeruginosa isolated in hospitals of chilean cities

Inhibitory and bactericidal activities of ciprofloxacin, temafloxacin, tosufloxacin, fleroxacin and E-4868 were determined against isolates of escherichia coli, acinetobacter baumannii and pseudomonas aeruginosa from varius chilean hospitals. Time-kill experiments were perfomed against one selected strain of these bacterial species. All quinolones showed high activity against E. coli as well as lower activity against P. aeruginosa and A. baumannii. Ciprofloxacin, temafloxacin, tosufloxacin, fleroxacin and E-4868 were rapidly bactericidal against E. coli, but only ciprofloxacin rapidly killed the strain of P. aeruginosa. E-4868 and tosufloxacin were also rapidly bactericidal against A. baumannii

Distribution of adrenergic receptors in the domestic fowl oviduct.

The effect of epinephrine, phenoxybenzamine (alpha-receptor blocker), and propranolol (beta-receptor blocker) on the oviductal motility in an in vitro system was investigated in strips from infundibulum, magnum, isthmus, and uterus from laying hens. Epinephrine resulted in a significant (P less than .05) contraction of both infundibulum (+166.6%) and magnum (+70.3%) and relaxation of the uterus (-56.9%), while the response of the isthmus was inconsistent. Epinephrine induced contractions in propranolol blocked strips in all four oviductal segments studied (infundibulum, +138.1; magnum, +70.4; isthmus, +35.9; and uterus, +30.1%). Epinephrine, in phenoxybenzamine-blocked strips, resulted in relaxation of all segments (infundibulum, -27.5; magnum, -40.5; isthmus, -63.4; and uterus -53.6%). These results suggest that the activity of alpha-excitatory adrenergic receptors is greater in the anterior than in the posterior segment of the oviduct. conversely, greater activity of beta-inhibitory receptors seems to be present in the posterior than in the anterior segment of the oviduct.