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1.
Integr Comp Biol ; 59(4): 786-798, 2019 10 01.
Article in English | MEDLINE | ID: mdl-31141128

ABSTRACT

Ctenophores, also known as comb jellies, live across extremely broad ranges of temperature and hydrostatic pressure in the ocean. Because various ctenophore lineages adapted independently to similar environmental conditions, Phylum Ctenophora is an ideal system for the study of protein adaptation to extreme environments in a comparative framework. We present such a study here, using a phylogenetically-informed method to compare sequences of four essential metabolic enzymes across gradients of habitat depth and temperature. This method predicts convergent adaptation to these environmental parameters at the amino acid level, providing a novel view of protein adaptation to extreme environments and demonstrating the power and relevance of phylogenetic comparison applied to multi-species transcriptomic datasets from early-diverging metazoa. Across all four enzymes analyzed, 46 amino acid sites were associated with depth-adaptation, 59 with temperature-adaptation, and 56 with both. Sites predicted to be depth- and temperature-adaptive occurred consistently near Rossmann fold cofactor binding motifs and disproportionately in solvent-exposed regions of the protein. These results suggest that the hydrophobic effect and ligand binding may mediate efficient enzyme function at different hydrostatic pressures and temperatures. Using predicted adaptive site maps, such mechanistic hypotheses can now be tested via mutagenesis.


Subject(s)
Adaptation, Biological/genetics , Ctenophora/chemistry , Ctenophora/genetics , Transcriptome , Amino Acid Sequence , Animal Distribution , Animals , Ctenophora/enzymology , Evolution, Molecular , Phylogeny , Sequence Alignment
2.
Stem Cells Int ; 2018: 4258613, 2018.
Article in English | MEDLINE | ID: mdl-30254682

ABSTRACT

Coralline hydroxyapatite/calcium carbonate (CHACC) is a biodegradable and osteoconductive bone graft material with promising clinical performance. CHACC has been shown to support proliferation and osteogenic differentiation of human bone marrow mesenchymal stem cells (MSCs) in vitro and demonstrated to work as a functional scaffold for bone formation in vivo. Umbilical cord matrix is a more accessible and abundant tissue source of MSCs, but its osteogenic capacity in comparison to human bone marrow when cultured on CHACC has not yet been demonstrated. In this study, we assessed the osteogenic differentiation capacity of human MSCs, isolated from bone marrow and umbilical cord matrix and characterised by flow cytometry, when cultured on 200-300 µm CHACC granules. The 3D cultures were characterised by brightfield and scanning electron microscopy (SEM). Osteogenic potential was assessed by immunocytochemistry and qPCR for key markers of bone differentiation (alkaline phosphatase, runx2, type I collagen, and osteocalcin). By day 1, the MSCs had enveloped the surface of the CHACC granules to form organoids, and by day 7, cells had proliferated to bridge nearby organoids. Extracellular matrix deposition and osteogenic differentiation were demonstrated by MSCs from both tissue sources at day 21. However, MSCs from bone marrow demonstrated superior osteogenic differentiation capability compared to those from umbilical cord matrix. In conclusion, it is possible to culture and induce osteogenic differentiation of umbilical cord matrix MSCs on CHACC. Further research is required to optimise the osteogenicity of umbilical cord matrix MSCs to release their full potential as a readily available, accessible, and abundant tissue source for bone tissue engineering.

3.
Biochem Biophys Res Commun ; 453(3): 552-6, 2014 Oct 24.
Article in English | MEDLINE | ID: mdl-25281901

ABSTRACT

During bone maintenance in vivo, estrogen signals through estrogen receptor (ER)-α. The objectives of this study were to investigate the temporal expression of ERα36 and ascertain its functional relevance during osteogenesis in human bone marrow derived stromal cells (BMSC). This was assessed in relation to runt-related transcription factor-2 (runx2), a main modulatory protein involved in bone formation. ERα36 and runx2 subcellular localisation was assessed using immunocytochemistry, and their mRNA expression levels by real time PCR throughout the process of osteogenesis. The osteogenically induced BMSCs demonstrated a rise in ERα36 mRNA during proliferation followed by a decline in expression at day 10, which represents a change in dynamics within the culture between the proliferative stage and the differentiative stage. The mRNA expression profile of runx2 mirrored that of ERα36 and showed a degree subcellular co-localisation with ERα36. This study suggests that ERα36 is involved in the process of osteogenesis in BMSCs, which has implications in estrogen deficient environments.


Subject(s)
Core Binding Factor Alpha 1 Subunit/metabolism , Estrogen Receptor alpha/metabolism , Mesenchymal Stem Cells/metabolism , Osteogenesis , Base Sequence , Core Binding Factor Alpha 1 Subunit/genetics , DNA Primers , Estrogen Receptor alpha/genetics , Humans , RNA, Messenger/genetics , Real-Time Polymerase Chain Reaction
4.
Br J Surg ; 99(11): 1591-9, 2012 Nov.
Article in English | MEDLINE | ID: mdl-23027078

ABSTRACT

BACKGROUND: Changes in human bone marrow associated with the systemic inflammatory response to injury are little understood. It was hypothesized that major trauma results in an altered bone marrow leucocyte progenitor profile, with either uniform depletion or the balance between multipotent and committed progenitors varying, depending on whether self-renewal is favoured over differentiation. METHODS: Bone marrow aspirate and peripheral blood samples were obtained at definitive surgery in adults with pelvic fractures from blunt trauma (major trauma with Injury Severity Score (ISS) at least 18, or isolated fractures) and control patients undergoing iliac crest bone grafting. ISS, interval to surgery and transfusion in the first 24 h were recorded. Bone marrow aspirate flow cytometry was used to identify haemopoietic progenitor cells (CD34(+) ), multipotent cells (CD34(+) CD45(+) CD38(-) ) and oligopotent cells (CD34(+) CD45(+) CD38(lo/+) and CD34(+) CD45(+) CD38(BRIGHT(++ +)) subsets). Peripheral blood levels of inflammatory markers were measured, and the ratio of immature to mature (CD35(-) /CD35(+) ) granulocytes was determined. RESULTS: The median (range) interval between injury and sampling was 7 (1-21) and 5 (1-21) days in the major trauma and isolated fracture groups respectively. The CD34(+) pool was significantly depleted in the major trauma group (P = 0·017), particularly the CD34(+) CD45(+) CD38(BRIGHT(++ +)) oligopotent pool (P = 0·003). Immature CD35(-) granulocytes increased in bone marrow with increasing injury severity (P = 0·024) and massive transfusion (P = 0·019), and in peripheral blood with increasing interval to surgery (P = 0·005). CONCLUSION: Major blunt trauma resulted in changes in the bone marrow CD34(+) progenitor pool. At the point in recovery when these samples were obtained, oligopotent progenitors were lost from the bone marrow, with continued release of immature cells.


Subject(s)
Bone Marrow/pathology , Fractures, Bone/pathology , Hematopoietic Stem Cells/pathology , Leukocytes/pathology , Pelvic Bones/injuries , Wounds, Nonpenetrating/pathology , Adult , Antigens, CD/metabolism , Cell Division , Cytokines/metabolism , Female , Fractures, Bone/metabolism , Humans , Leukocytes/metabolism , Male , Middle Aged , Multipotent Stem Cells/pathology , Prospective Studies
5.
J Pharm Sci ; 86(1): 142-6, 1997 Jan.
Article in English | MEDLINE | ID: mdl-9002474

ABSTRACT

The percutaneous absorption of three highly lipophilic analogs of capsaicin--vanillylnonanamide (VN), olvanil, and NE-21610--was measured in vivo in the CD:VAF rat, and in vitro through excised CD: VAF and SkH:Fz rat skin and human cadaver skin. Absorption and skin metabolism were monitored by radiolabel techniques. The rank order of penetration in all species was VN > olvanil > NE-21610, in accordance with that expected from their physical properties. Rat skin was more permeable than human skin by factors ranging from 4 to 8 for VN, 10 to 20 for olvanil, and approximately 10 to 100 for NE-21610. All three compounds were extensively metabolized during passage through fresh SkH:Fz rat skin, with the primary route of degradation for at least two of the compounds involving hydrolysis of the amide bond (the metabolites of NE-21610 were not identified). For the in vitro studies a range of receptor solutions was employed to determine a set of conditions that best mimicked in vivo absorption. The results with phosphate-buffered saline containing a preservative and 1-6% polyoxyethylene-20 oleyl ether (Oleth-20) were in good agreement with in vivo results for all three compounds for periods up to 24 h post-dose; after this time, in vivo absorption rates declined but in vitro rates remained relatively constant. Buffered saline or saline containing 0.5% bovine serum albumin led to marked underestimates of in vivo penetration for olvanil and NE-21610, whereas a 1:1 ethanol: water solution led to gross overestimates of the in vivo absorption rates for all three compounds.


Subject(s)
Capsaicin/analogs & derivatives , Skin Absorption , Vanillic Acid/analogs & derivatives , Animals , Capsaicin/pharmacokinetics , Humans , In Vitro Techniques , Male , Rats , Vanillic Acid/pharmacokinetics
6.
Pharm Res ; 11(12): 1747-54, 1994 Dec.
Article in English | MEDLINE | ID: mdl-7899239

ABSTRACT

The institution of a readily-implemented sample screening and data handling procedure for in vitro skin penetration studies yields substantial improvements in sensitivity for distinguishing between formulations, treatments, penetrants, etc. The procedure involves four steps: 1) prescreen the tissue samples to determine their intrinsic permeability; 2) apply treatments using a randomized complete block (RCB) design, with blocking by tissue permeability; 3) apply a variance-stabilizing transformation to the penetration data, followed by outlier testing; and 4) analyze the transformed data according to an RCB analysis of variance, using tissue permeability as the blocking variable. For penetration studies in which high sample variability is a concern, the above procedure commonly yields a sensitivity advantage of several-fold versus alternative methods of comparison.


Subject(s)
Skin/metabolism , Humans , Permeability
8.
Neurosci Lett ; 127(1): 43-5, 1991 Jun 10.
Article in English | MEDLINE | ID: mdl-1881616

ABSTRACT

The relationship of capsaicin desensitization to the antinociception produced by acute capsaicin administration was studied in the rat. Cutaneous application of 1% capsaicin (3 x/day) for 1 day antagonized plasma extravasation evoked by either 5% capsaicin applied to the dorsal surface of the hindpaw or antidromic stimulation of the saphenous nerve. Treatment with either 1% or 5% capsaicin (3 x/day) for up to 4 days failed, however, to produce thermal antinociception as measured by the rat paw-withdrawal procedure. In contrast, intracutaneous injection of 100 micrograms capsaicin produced marked increases in paw-withdrawal response latencies for up to six hours after injection. These data demonstrate a dissociation between block of cutaneous plasma extravasation and thermal antinociception in the rat. The data provide in vivo evidence that desensitization of peripheral nociceptors by capsaicin cannot account for the antinociception observed following acute capsaicin administration. Finally, these data support the notion that some pharmacologic actions of capsaicin in the rat can be dissociated from frank neurotoxicity on the basis of concentration or dose.


Subject(s)
Blood Vessels/metabolism , Capsaicin/pharmacology , Nerve Fibers/physiology , Nociceptors/physiology , Plasma/metabolism , Animals , Capillary Permeability , Electric Stimulation , Hindlimb/blood supply , Rats , Rats, Inbred Strains
9.
Teratology ; 42(3): 225-32, 1990 Sep.
Article in English | MEDLINE | ID: mdl-2274888

ABSTRACT

The distribution of salicylate to embryonal compartments for in situ and in vitro rat embryos under equivalent exposure conditions, and salicylate disposition in the in vivo mid-gestation embryo and late gestation fetus, were compared. Pregnant Sprague-Dawley CD rats were exposed to steady-state blood levels of salicylate by infusing 14C-salicylic acid iv for a 24 hour period from gestation day 11.5 to 12.5. Cultured Sprague-Dawley rat embryos (in medium consisting of 100% male rat serum) were exposed to the steady-state 14C-salicylate concentration achieved in maternal serum in vivo for the same 24 hour developmental period. At the end of the exposure period radioactivity in visceral yolk sac, extra-embryonic fluid and embryos, and in maternal tissues, was measured. The distribution of salicylate to embryonal tissues was statistically comparable in vivo and in vitro, although the embryos in vitro accumulated slightly (but not significantly) less of the chemical. There was considerable binding of salicylate by maternal serum and culture medium proteins: less than 20% of the chemical was free at the 40 micrograms/ml concentration used in this experiment. Consequently, the salicylate concentration in embryonal compartments appeared to be quite low when compared to the surrounding serum/medium, but was actually equal to or greater than the concentration of unbound salicylate in serum or culture medium. The proportion of free salicylate in serum increased at concentrations higher than 40 micrograms/ml, resulting in somewhat higher concentrations of salicylate in in vitro embryos and extraembryonic fluid (as compared to medium) when cultured in the presence of 200 or 400 micrograms/ml salicylate.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Embryo, Mammalian/metabolism , Salicylates/pharmacokinetics , Animals , Dose-Response Relationship, Drug , Female , In Vitro Techniques , Kinetics , Maternal-Fetal Exchange/drug effects , Pregnancy , Rats , Rats, Inbred Strains , Salicylates/administration & dosage , Salicylates/blood , Tissue Distribution/drug effects
10.
Food Chem Toxicol ; 28(8): 543-5, 1990 Aug.
Article in English | MEDLINE | ID: mdl-2242827

ABSTRACT

Immobilization of groups of five to nine male rats for 2-5 days results in a 50% increase in urinary bladder fresh weight compared with normally caged controls. The increase in urinary bladder weight was not due to tissue oedema and was accompanied by epithelial hyperplasia in some urinary bladders. Immobilization did not alter total urine volume, but it did decrease the frequency of urine voiding and doubled the mean urine weight/voiding. Thus, bladder distention caused by the increased volume per voiding caused a rapidly induced increase in bladder tissue growth, and was accompanied by an increase in bladder epithelial cell division.


Subject(s)
Immobilization/adverse effects , Urinary Bladder/physiopathology , Urination/physiology , Animals , Body Weight , Male , Minerals/urine , Organ Size , Rats
11.
Clin Orthop Relat Res ; (239): 47-52, 1989 Feb.
Article in English | MEDLINE | ID: mdl-2912636

ABSTRACT

Hanging, a common method of execution, began in antiquity and continues to this date. Unfortunately, the exact cause of a victim's demise was not always obvious, and many victims died as the result of asphyxiation from the hangman's noose. In the latter part of the 19th century, scientific curiosity led to autopsy studies of the cervical spine; Paterson in 1890 first described the lethal lesion. Experimental work in 1913 demonstrated that when the hangman's knot was placed beneath the chin, death rapidly occurred because of a traumatic spondylolisthesis of the second cervical vertebra. This knot placement then became standard as the most efficient method of execution. It was not until the mid-20th century that the similarity between judicial and civilian injury was recognized. The reports were infrequent, and most of the pars interarticularis fractures resulted from automobile accidents in which the victim was thrown forward and struck his or her face against the windshield which caused sudden violent hyperextension. The similarity between civilian and vehicular injuries was recognized in 1965 by Schneider who, together with his associates, reported eight cases; it was this group who introduced the term "hangman's fracture". Garber presented his thoughts on this subject, noting that there was a difference between the forces generated by judicial hanging and those caused by motor vehicle accidents and other similar civilian injuries. The former results in axial loading and hyperextension, and, rarely, in flexion or axial loading. Since the lesion occurs at the pars interarticularis of C2, Garber suggested that a more appropriate term might be traumatic spondylolisthesis of the axis.


Subject(s)
Axis, Cervical Vertebra/injuries , Cervical Vertebrae , Spondylolisthesis/diagnostic imaging , Axis, Cervical Vertebra/diagnostic imaging , Cervical Vertebrae/diagnostic imaging , Humans , Radiography , Spondylolisthesis/etiology , Spondylolisthesis/history
12.
Spine (Phila Pa 1976) ; 13(8): 883-7, 1988 Aug.
Article in English | MEDLINE | ID: mdl-3187709

ABSTRACT

Children with severe cervical kyphosis present a difficult treatment challenge. The most common etiology of this deformity is extensive laminectomies, especially associated with postlaminectomy irradiation. The deformity can be rapidly progressive leading to neurologic involvement. With intact posterior elements, kyphosis can occur as a result of congenital, traumatic, metabolic or neoplastic processes. Treatment is directed towards early recognition, arrest of the progression of deformity, and improvement of neurologic symptoms. Patients with loss of posterior elements can be treated effectively by preoperative traction and a single-staged anterior release with strut fusion. Patients with intact posterior elements require preoperative traction, initial posterior osteotomies with intraoperative traction, then an anterior release with strut fusion. All patients need rigid postoperative halo immobilization for a minimum of 3 to 4 months to maintain position. Using these techniques, nine patients were treated surgically with satisfactory outcomes.


Subject(s)
Cervical Vertebrae , Kyphosis/surgery , Adolescent , Braces , Child , Child, Preschool , Female , Follow-Up Studies , Humans , Kyphosis/diagnostic imaging , Male , Osteotomy , Preoperative Care , Radiography , Spinal Fusion , Traction
13.
J Pharmacol Exp Ther ; 245(2): 563-8, 1988 May.
Article in English | MEDLINE | ID: mdl-3367306

ABSTRACT

Ethylene dichloride (EDC) is metabolized by two competing pathways both of which consume glutathione (GSH). EDC undergoes oxidation to form chloroacetaldehyde (CAA) which is detoxified by GSH and also reacts directly with GSH to form 2-(s-chloroethyl)-GSH. A physiological pharmacokinetic model developed for EDC was extended to describe tissue GSH turnover and its depletion after EDC exposures. This GSH model was necessary to keep track of GSH concentrations with time, as EDC metabolism is affected by GSH status. Reactions of GSH with EDC and GSH with CAA were defined as second-order. Steady-state GSH formation was modeled as zero-order and GSH loss as first-order. GSH rebound effects after its depletion were controlled by a GSH synthetase reaction, which allowed time- and GSH concentration-dependent feedback for increased GSH resynthesis. The model was developed for liver GSH in the rat and was extrapolated to include the lung. Allometric scaling was used to extrapolate the model to other animal species. Experimental observations in the rat and mouse were consistent with model predictions.


Subject(s)
Ethylene Dichlorides/pharmacokinetics , Glutathione/metabolism , Hydrocarbons, Chlorinated/pharmacokinetics , Models, Biological , Animals , Ethylene Dichlorides/pharmacology , Gastric Mucosa/metabolism , Glutathione/biosynthesis , Kinetics , Liver/drug effects , Liver/metabolism , Lung/drug effects , Lung/metabolism , Mathematics , Rats , Stomach/drug effects
14.
Food Chem Toxicol ; 25(4): 271-5, 1987 Apr.
Article in English | MEDLINE | ID: mdl-3108123

ABSTRACT

The role of dietary carbohydrate composition and concentration in the response of male rats to sodium saccharin (NaS) was ascertained by comparing the response to 5% dietary NaS in rats given diets containing 65% starch, 50% sucrose together with 15% starch, 65% glucose, or 3% sucrose. NaS induced similar levels of caecal enlargement and increases in urine volume and bladder mass when given with any of the three forms of carbohydrate at 65% in the diet. However with the 3% sucrose diet, NaS caused a lesser caecal enlargement and no increase in urine volume or bladder mass. These findings suggest that NaS not only inhibits saccharide hydrolysis but also inhibits glucose transport. The significance of these findings in relation to NaS-associated bladder tumours is discussed.


Subject(s)
Dietary Carbohydrates/pharmacology , Saccharin/toxicity , Animals , Body Weight/drug effects , Cecum/drug effects , Diet , Drinking/drug effects , Indican/urine , Male , Minerals/urine , Rats , Saccharin/urine , Urinary Bladder/drug effects , Urine/drug effects
15.
Food Chem Toxicol ; 24(3): 229-35, 1986 Mar.
Article in English | MEDLINE | ID: mdl-3957175

ABSTRACT

Male Fischer 344 rats were used to determine effect of consumption of 0.5% N-nitroso-n-butyl-(4-hydroxybutyl)amine (BNN) in the drinking-water for 2 wk on the response to 0.02, 0.2 and 2.0% trisodium nitrilotriacetate (Na3 NTA . H2O) in the diet in terms of urinary mineral excretion, bladder mass and bladder mineral concentrations. The primary objective of the study was to determine whether exposure of rats to an initiating dose of a bladder carcinogen (BBN) alters the threshold dose of Na3NTA . H2O required to alter urinary or bladder mineral concentrations or the dose-response to NTA. Such alterations are considered to be necessary precursors for changes in bladder morphology in rats fed NTA in chronic toxicity studies (Anderson, Bishop & Campbell, CRC Crit. Rev. Toxicol. 1985, 15, 1). The results demonstrated that BBN exposure caused an increase in bladder mass and bladder-tissue Zn concentration. However, BBN pretreatment did not have any effect on Na3NTA . H2O metabolism, the threshold dose of Na3NTA . H2O required to attain the necessary conditions for induction of bladder toxicity by NTA, or the dose-response relationships for NTA's effects on any parameter examined. From these data, it is concluded that it is unlikely that NTA would show a different threshold or dose-response for bladder tumour promotion than for its tumorigenicity at this site, which has been demonstrated previously (National Cancer Institute, DHEW Publication No. (NIH) 77-806, 1977).


Subject(s)
Acetates/toxicity , Butylhydroxybutylnitrosamine/toxicity , Minerals/metabolism , Nitrilotriacetic Acid/toxicity , Nitrosamines/toxicity , Urinary Bladder Neoplasms/chemically induced , Animals , Calcium/metabolism , Cocarcinogenesis , Dose-Response Relationship, Drug , Male , Nitrilotriacetic Acid/metabolism , Organ Size/drug effects , Rats , Rats, Inbred F344 , Urinary Bladder/drug effects , Urinary Bladder/metabolism , Zinc/metabolism
16.
Nutr Cancer ; 8(2): 133-9, 1986.
Article in English | MEDLINE | ID: mdl-3085073

ABSTRACT

Sodium saccharin (NaSacc) has been shown to be a protease inhibitor and to induce an increase in urinary indican, which is a product that is dependent on microbial metabolism of tryptophan. These findings suggest that urinary indican might provide a noninvasive marker of increased pancreatic acinar cell size associated with plant trypsin inhibitor ingestion. The results demonstrate the 7.5% of dietary NaSacc, which increases urinary indican, also increases relative pancreas mass (g/kg body weight), and that these effects are not induced by intravenous infusion of NaSacc. Dietary soybean trypsin inhibitor in the dose range of 17-713 mg/100 g diet was associated with parallel dose-dependent increases in urinary indican and pancreatic acinar cell size (assessed histologically). These findings suggest that measurement of relative urinary indican excretion (microgram/g diet ingested) can provide a noninvasive marker of increased pancreatic acinar cell size in rats that ingest compounds which inhibit digestive proteases.


Subject(s)
Diet , Indican/urine , Pancreas/drug effects , Saccharin/pharmacology , Trypsin Inhibitor, Kunitz Soybean/pharmacology , Trypsin Inhibitors/pharmacology , Animals , Body Weight/drug effects , Dose-Response Relationship, Drug , Eating/drug effects , Hypertrophy , Male , Pancreas/pathology , Rats
17.
Hosp Formul ; 20(5): 643-5, 648-50, 1985 May.
Article in English | MEDLINE | ID: mdl-10271105

ABSTRACT

Consultant pharmacists conducted a drug history and regimen review on one-fourth of the patient population served by a community hospital-based home health department. About one-third of study patients had inappropriately stopped taking their medications; over one-fourth of the study patients had changed their schedule or dose without health professional consultation. Fifteen percent of all medications were duplications, and only 8% of prescription medications were correctly identified by name. Consultant pharmacist activities that could reduce drug-related problems were identified as drug therapy consultation with patients and staff, drug regimen review, drug information, and patient medication education.


Subject(s)
Drug Therapy/standards , Home Care Services , Pharmacists , Consultants , Drug-Related Side Effects and Adverse Reactions , Georgia , Humans , Patient Compliance
19.
Food Chem Toxicol ; 22(9): 749-53, 1984 Sep.
Article in English | MEDLINE | ID: mdl-6541628

ABSTRACT

Renal pelvic and proximal ureteral dilatation has been observed in male Charles River (CD) and Fischer 344 rats ingesting comparable doses of Na3NTA X H2O. Ureteral dilatation is accompanied by epithelial surface ulceration and erosion. Taken together with previous work (Anderson, Alden & Merski, Fd Chem. Toxic. 1982, 20, 105), these findings demonstrate that the ingestion of high doses of NTA results in similar effects on the transitional epithelium throughout the urinary tract.


Subject(s)
Acetates/toxicity , Kidney Pelvis/drug effects , Nitrilotriacetic Acid/toxicity , Ureter/drug effects , Animals , Dilatation, Pathologic/chemically induced , Hydronephrosis/chemically induced , Hydronephrosis/pathology , Kidney Pelvis/diagnostic imaging , Kidney Pelvis/pathology , Male , Radiography , Rats , Rats, Inbred F344 , Rats, Inbred Strains , Ureter/diagnostic imaging , Ureter/pathology
20.
Clin Orthop Relat Res ; (178): 220-2, 1983 Sep.
Article in English | MEDLINE | ID: mdl-6883855

ABSTRACT

A five-year-old boy sustained a vertical compression injury to the occiput, initial findings were consistent with a cervical spine injury. Evaluation, including plain films, tomograms, and CT scanning, confirmed a C1 fracture through congenital anterior and posterior arch defects. Flexion and extension tomograms showed this rare lesion to be stable, and no surgical intervention was required. Because congenital anomalies of the cervical spine can be confused with traumatic lesions, thorough evaluation is warranted. Treatment should be based on signs of instability, if present.


Subject(s)
Atlanto-Axial Joint/injuries , Cervical Atlas/abnormalities , Fractures, Bone/diagnostic imaging , Cervical Atlas/diagnostic imaging , Child, Preschool , Diagnosis, Differential , Humans , Male , Tomography, X-Ray Computed
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