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1.
Int J Radiat Biol ; 93(12): 1357-1363, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-28978259

RESUMO

PURPOSE: Brown marmorated stink bugs, Halyomorpha halys Stål (Hemiptera: Pentatomidae), are regularly intercepted, but there are few eradication tools. Currently, no sterile insect technique program exists for Hemiptera. MATERIALS AND METHODS: Adult males were irradiated at 4-60 Gy, mated and their progeny reared for two generations, with mortality assessed at F1 egg, F1 adult and F2 egg stages. RESULTS: The F1 eggs showed a dose response to irradiation between 4 and 36 Gy, with 97% sterility at 16 Gy, and higher doses producing complete egg mortality. Only rare F1 survivors had progeny, but the F2 generation showed identical responses between maternal and paternal lines; most egg batches showed either very low or very high mortality. Irradiation with 16 Gy resulted in 98.5% sterility, cumulative over F1 and F2. CONCLUSIONS: Lack of a dose response at the F2 generation precludes the use of irradiation-induced inherited sterility. The conventional sterile insect technique appears possible by irradiation of males from ∼12 to 16 Gy. The effect of radiation dose on females is not known, thus we cannot conclude whether bi-sex release is feasible so for now the release of males only is recommended. More work is needed on the competitive fitness of irradiated males, and logistics such as mass rearing or field collection, in order to determine the feasibility of the approach.


Assuntos
Raios gama , Hemípteros/fisiologia , Hemípteros/efeitos da radiação , Infertilidade , Controle de Pragas/métodos , Animais , Relação Dose-Resposta à Radiação , Feminino , Longevidade/efeitos da radiação , Masculino
2.
Environ Entomol ; 43(2): 370-6, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24763094

RESUMO

In peanut-cotton farmscapes in Georgia, the stink bugs Nezara viridula (L.) and Chinavia hilaris (Say) (Hemiptera: Pentatomidae) and the leaffooted bug, Leptoglossus phyllopus (L.) (Hemiptera: Coreidae), disperse at crop-to-crop interfaces to feed on bolls in cotton. The main objective of this study was to determine whether insecticide-free tropical milkweed (Asclepias curassavica L.), a nectar-producing plant, can increase parasitism of these bugs by Trichopoda pennipes (F.) (Diptera: Tachinidae) and provide nectar to monarch butterflies and insect pollinators in these farmscapes. Peanut-cotton plots with and without flowering milkweed plants were established in 2009 and 2010. Adult T. pennipes, monarch butterflies, honey bees, and native insect pollinators readily fed on floral nectar of milkweed. Monarch larvae feeding on milkweed vegetation successfully developed into pupae. In 2009, N. viridula was the primary host of T. pennipes in cotton, and parasitism of this pest by the parasitoid was significantly higher in milkweed cotton (61.6%) than in control cotton (13.3%). In 2010, parasitism of N. viridula, C. hilaris, and L. phyllopus by T. pennipes was significantly higher in milkweed cotton (24.0%) than in control cotton (1.1%). For both years of the study, these treatment differences were not owing to a response by the parasitoid to differences in host density, because density of hosts was not significantly different between treatments. In conclusion, incorporation of milkweed in peanut-cotton plots increased stink bug parasitism in cotton and provided nectar to insect pollinators and monarch butterflies.


Assuntos
Agricultura/métodos , Asclepias/química , Borboletas/fisiologia , Hemípteros/parasitologia , Interações Hospedeiro-Parasita/fisiologia , Néctar de Plantas/metabolismo , Polinização/fisiologia , Animais , Arachis/crescimento & desenvolvimento , Asclepias/fisiologia , Abelhas/fisiologia , Comportamento Alimentar/fisiologia , Georgia , Gossypium/crescimento & desenvolvimento , Análise dos Mínimos Quadrados , Néctar de Plantas/análise , Dinâmica Populacional
3.
J Econ Entomol ; 104(3): 814-22, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21735898

RESUMO

The sterile insect technique (SIT) is a proven effective control tactic against lepidopteran pests when applied in an areawide integrated pest management program. The construction of insect mass-rearing facilities requires considerable investment and moth control strategies that include the use of sterile insects could be made more cost-effective through the importation of sterile moths produced in other production centers. For codling moth, Cydia pomonella (L.) (Lepidoptera: Tortricidae), this is an attractive option because mating studies have confirmed the absence of mating barriers between codling moth populations from geographically different areas. To assess the feasibility of long-distance transportation of codling moths, pupae and adult moths were transported in 2004 from Canada to South Africa in four shipments by using normal commercial transport routes. The total transport time remained below 67 h in three of the consignments, but it was 89 h in the fourth consignment. Temperature in the shipping boxes was fairly constant and remained between -0.61 and 0.16 degrees C for 76.8-85.7% of the time. The data presented indicate that transporting codling moths as adults and pupae from Canada to South Africa had little effect on moth emergence, longevity, and ability to mate, as assessed in the laboratory. These results provide support to the suggestion that the STT for codling moth in pome fruit production areas might be evaluated and implemented by the importation of irradiated moths from rearing facilities in a different country or hemisphere.


Assuntos
Mariposas/fisiologia , Controle Biológico de Vetores/métodos , Meios de Transporte , Aeronaves , Animais , Colúmbia Britânica , Feminino , Tábuas de Vida , Masculino , Pupa/fisiologia , Reprodução , África do Sul , Temperatura , Fatores de Tempo
4.
J Virol ; 84(2): 847-55, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19864391

RESUMO

Insulin degradation enzyme (IDE) is a 110-kDa zinc metalloprotease found in the cytosol of all cells. IDE degrades insulin and a variety of small proteins including amyloid-beta. Recently, IDE has been proposed as the receptor for varicella-zoster virus (VZV) attachment. During our reassessment, some of the original studies were repeated and expanded in scope. We first confirmed that IDE antibody reduced VZV spread. For additional controls, we repeated the same experiments with herpes simplex virus (HSV)-infected cells as well as uninfected cells. There was a visible reduction in HSV spread but less than seen in the VZV system. Of greater importance, IDE antibody also inhibited the growth of uninfected cells. Second, we repeated the coprecipitation assays. We confirmed that antibodies to VZV gE (open reading frame 68) coprecipitated IDE and that anti-IDE antibody coprecipitated gE. However, the detected gE protein was not the mature 98-kDa form; rather, it was a precursor 73-kDa gE form found in the endoplasmic reticulum. Additional control experiments included VZV-infected cell cultures treated with tunicamycin to block gE glycosylation in the endoplasmic reticulum; again, the anti-IDE antibody coprecipitated a 73-kDa gE product. Finally, Orbitrap mass spectrometry analysis of a chromatographically purified gE sample revealed four cellular proteins associated with the unfolded protein response: BiP (HSPA5), HSPA8, HSPD1, and PPIA (peptidyl-propyl cis-trans isomerase). We conclude that IDE protease binds to the 73-kDa gE precursor and that this event occurs in the cytosol but not as a receptor/ligand interaction.


Assuntos
Retículo Endoplasmático/metabolismo , Herpesvirus Humano 3/metabolismo , Insulisina/metabolismo , Precursores de Proteínas/metabolismo , Proteínas do Envelope Viral/metabolismo , Animais , Linhagem Celular Tumoral , Pré-Escolar , Chaperona BiP do Retículo Endoplasmático , Herpesvirus Humano 3/fisiologia , Humanos , Resposta a Proteínas não Dobradas
6.
JONAS Healthc Law Ethics Regul ; 3(2): 58-67, 2001 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-11887695

RESUMO

Managed care has grown into the driving force for coordinating and managing healthcare delivery and its financing. At the same time, major initiatives have gained momentum in societal and legislative efforts regarding patient rights. This article provides a historical, legal, and philosophical review of the major events that have shaped the evolution of healthcare services and development of the patient rights issue. As the healthcare industry finds itself in a state of needed reform, the future evolution of managed care in light of the patient rights issue will have important implications for legislators, clinicians, and healthcare organizations as they struggle to provide quality care and improve cost controls.


Assuntos
Programas de Assistência Gerenciada/legislação & jurisprudência , Direitos do Paciente/legislação & jurisprudência , Humanos , Estados Unidos
8.
J Shoulder Elbow Surg ; 9(2): 79-84, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-10810684

RESUMO

Overuse activity has been implicated as an etiologic factor in injury to the rotator cuff and to the supraspinatus tendon in particular. Due in part to the lack of an appropriate animal model, expex85ental studies have not addressed this issue. With the use of a rat model, we measured the effects of an overuse running regimen on 36 Sprague-Dawley rats after 4 (n = 12), 8 (n = 12), or 16 (n = 12) weeks of exercise and compared them with a control group of rats (n = 10) who were allowed normal cage activity. The histologic characteristics, the gross morphologic characteristics, and the mechanical properties of the tendon tissue were evaluated. The supraspinatus tendons in the exercised animals demonstrated significant changes as a result of overuse at all time points compared with the normal group. There was an increase in cellularity and a loss of the normal collagen fiber organization consistent with what has been seen in human tendinopathy. The tendons from the exercise groups were larger than normal in cross-sectional analysis at 4 weeks (129% of control, P < .01) and continued to increase in size with time to 16 weeks (164% of control, P = .01). The mechanical properties of the tendons deteriorated in response to overuse exercise with a decreased modulus of elasticity ranging from 52% to 61% of control (P = .07 at 4 weeks, P < .05 at 8 and 16 weeks) and a decreased maximum stress of failure ranging from 51% to 63% of control (P < .007). These findings support overuse activity as an etiologic factor in the development of supraspinatus tendinopathy and begin to describe the changes in the tendons as a result of such activity. This model can now be used to study the effect of various treatment modalities on these injuries.


Assuntos
Transtornos Traumáticos Cumulativos/patologia , Transtornos Traumáticos Cumulativos/fisiopatologia , Articulação do Ombro/fisiopatologia , Traumatismos dos Tendões , Tendões/patologia , Animais , Distinções e Prêmios , Fenômenos Biomecânicos , Modelos Animais de Doenças , Humanos , Imuno-Histoquímica , Masculino , Ortopedia , Probabilidade , Amplitude de Movimento Articular , Ratos , Ratos Sprague-Dawley , Valores de Referência , Articulação do Ombro/patologia
9.
J Biol Chem ; 275(29): 22348-54, 2000 Jul 21.
Artigo em Inglês | MEDLINE | ID: mdl-10806212

RESUMO

Protein kinase C (PKC) activation has been implicated in cellular proliferation in neoplastic astrocytes. The roles for specific PKC isozymes in regulating this glial response, however, are not well understood. The aim of this study was to characterize the expression of PKC isozymes and the role of PKC-eta expression in regulating cellular proliferation in two well characterized astrocytic tumor cell lines (U-1242 MG and U-251 MG) with different properties of growth in cell culture. Both cell lines expressed an array of conventional (alpha, betaI, betaII, and gamma) and novel (theta and epsilon) PKC isozymes that can be activated by phorbol myristate acetate (PMA). Another novel PKC isozyme, PKC-eta, was only expressed by U-251 MG cells. In contrast, PKC-delta was readily detected in U-1242 MG cells but was present only at low levels in U-251 MG cells. PMA (100 nm) treatment for 24 h increased cell proliferation by over 2-fold in the U-251 MG cells, whereas it decreased the mitogenic response in the U-1242 MG cells by over 90%. When PKC-eta was stably transfected into U-1242 MG cells, PMA increased cell proliferation by 2.2-fold, similar to the response of U-251 MG cells. The cell proliferation induced by PMA in both the U-251 MG and U-1242-PKC-eta cells was blocked by the PKC inhibitor bisindolylmaleimide (0.5 micrometer) and the MEK inhibitor, PD 98059 (50 micrometer). Transient transfection of wild type U-251 with PKC-eta antisense oligonucleotide (1 micrometer) also blocked the PMA-induced increase in [(3)H]thymidine incorporation. The data demonstrate that two glioblastoma lines, with functionally distinct proliferative responses to PMA, express different novel PKC isozymes and that the differential expression of PKC-eta plays a determining role in the different proliferative capacity.


Assuntos
Astrócitos/metabolismo , Astrócitos/patologia , Carcinógenos/farmacologia , Isoenzimas/metabolismo , Proteína Quinase C/metabolismo , Transdução de Sinais/efeitos dos fármacos , Acetato de Tetradecanoilforbol/farmacologia , Divisão Celular/efeitos dos fármacos , Humanos , Células Tumorais Cultivadas
10.
J Insect Physiol ; 46(4): 457-465, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-12770210

RESUMO

Diapetimorpha introita is an ichneumonid ectoparasitoid of the fall armyworm, Spodoptera frugiperda. Since it has been reported that D. introita wasps reared on an artificial diet exhibit a significantly lower percentage of adult eclosion and fecundity than host-reared wasps, this study was undertaken to elucidate the factors responsible for the reduced viability observed in diet-reared wasps. A system of markers has been devised to track the development (from the initiation of cocooning through adult eclosion) of D. introita. Although wasps reared on artificial diet developed more slowly than did those reared on host pupae, both diet- and host-reared wasps passed through the same stages of development - the eyes enlarged and moved backward, the gut was purged and upon ecdysis the exarate pupa emerged. The thorax was the first to darken, followed by the head and then the abdomen. Pharate pupal formation occurred before gut purge. Two peaks of hemolymph ecdysteroids were observed, one in wasps in which gut purge was almost complete and the second in day-2 exarate pupae. Ecdysone and 20-hydroxyecdysone were the major ecdysteroids present in hemolymph sampled at these times. Small quantities of 20,26-dihydroxyecdysone, polar ecdysteroids and/or possibly 26-hydroxyecdysone were also present. In six stages of development, hemolymph ecdysteroid titers were significantly higher in host-reared than in diet-reared wasps (Eye 1, Eye 2, Gut Purge 2, Pharate Pupa, Head/Thorax Dark, and Abdomen Dark). Relatively high percentages of mortality were observed in diet-reared wasps in four of these stages and in two others which occurred in close proximity to one of the stages, the Abdomen Dark stage. Thus, insufficient ecdysteroid in the hemolymph may be responsible, in part, for the relatively high percentage of mortality that occurred in wasps reared on an artificial diet.

11.
Clin Orthop Relat Res ; (367 Suppl): S296-311, 1999 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-10546654

RESUMO

Improved methods are needed for prevention and treatment of injuries to the musculoskeletal soft tissues. Tissue engineering techniques have led to more effective clinical protocols for treating these injuries. Improvement of tissue healing through the addition of biologic factors, and the development of biologically active tissue engineered replacements, are two promising areas of research. An essential component of progress in this field is the use of animal models of tendon and ligament injuries, which allows for rigorous testing of hypotheses related to disease pathogenesis and treatment. Because these animal models must be appropriate for the condition being studied, no single model exists that is appropriate for all investigations. It generally is necessary to differentiate between tendon and ligament tissues. Furthermore, ligaments should be divided into intraarticular and extraarticular models, whereas tendons should be divided into intrasynovial and extrasynovial models. Other important factors in the appropriate use of an animal model include size of the animal, anatomic features, and techniques available for tissue analysis. The tissues used should be large enough to allow for accurate and reproducible manipulations (injury creation, repair, reconstruction). In addition, it is preferable to use tissues that are amenable to quantitative analysis.


Assuntos
Materiais Biocompatíveis , Técnicas de Cultura de Células , Transplante de Células , Modelos Animais de Doenças , Ligamentos/lesões , Traumatismos dos Tendões/terapia , Animais , Biotecnologia , Colágeno , Fibroblastos/citologia , Fibroblastos/transplante , Ligamentos Articulares/lesões
14.
J Biomech Eng ; 121(2): 229-33, 1999 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10211458

RESUMO

The purpose of this study was to measure the effect of bone-patellar tendon-bone autograft harvest for anterior cruciate ligament (ACL) reconstruction on the surface strain of the human patella. Through progressive removal of bone from the patella, three different defect shapes as well as the intact patella were tested in each of seven knees. Maximum principal strain and corresponding principal direction were determined from each of three gages around the defect for the four conditions (intact plus three defect shapes). There were no statistically significant differences in overall average surface strain between any of the defect shapes. Following graft harvest, overall average strain (all three defects combined) increased in the patella both medial (15 percent increase) and lateral (34 percent increase) to the defect, while decreasing in the region directly proximal (22 percent decrease) to the harvest site compared to the intact patella. A statistically significant 7.5 deg shift of principal direction from longitudinal toward a more transverse (lateral-superior to medial-inferior) direction was observed in the medial region when a shallow-dome defect was made. We conclude that removal of a bone block from the anterior, inferior part of the patella induces a significant redistribution of the surface strain. This results in greater local strain adjacent to the upper border of the bone block increasing the risk for patella fracture. This effect may be of importance in various complications known to occur after ACL reconstruction.


Assuntos
Ligamento Cruzado Anterior/fisiopatologia , Ligamento Cruzado Anterior/cirurgia , Patela/transplante , Amplitude de Movimento Articular , Tendões/transplante , Idoso , Idoso de 80 Anos ou mais , Análise de Variância , Lesões do Ligamento Cruzado Anterior , Cadáver , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Mecânico , Transplante Autólogo/métodos , Suporte de Carga
15.
Neuro Oncol ; 1(2): 109-19, 1999 04.
Artigo em Inglês | MEDLINE | ID: mdl-11550306

RESUMO

Studies of experimental tumorigenesis have strongly implicated signaling of the insulin-like growth factor 1 (IGF-1) as a key component in astrocytic neoplasia; however, its role in the growth of low-grade and malignant human tumors is not well understood. Correlative analyses of IGF-1, p53, and Ki-67 (MIB-1) immunohistochemistry and IGF-1 receptor (IGF-1R) mRNA expression were performed to examine the cellular pattern of IGF-1 signaling in 39 cases of astrocytoma (World Health Organization grades II-IV). Tumor cells expressing IGF-1 and IGF-1R were present in all tumor grades. The proportion of tumor cells that expressed IGF-1 correlated with both histopathologic grade and Ki-67 labeling indices, while expression of IGF-1R mRNA correlated with Ki-67 indices. In cases where stereotactic tissue sampling could be identified with a specific tumor area by neuroimaging features, the numbers of IGF-1 immunoreactive cells correlated with the tumor zones of highest cellularity and Ki-67 labeling. In glioblastomas, the localization of IGF-1 immunoreactivity was notable for several features: frequent accentuation in the perivascular tumor cells surrounding microvascular hyperplasia; increased levels in reactive astrocytes at the margins of tumor infiltration; and selective expression in microvascular cells exhibiting endothelial/pericytic hyperplasia. IGF-1R expression was particularly prominent in tumor cells adjacent to both microvascular hyperplasia and palisading necrosis. These data suggest that IGF-1 signaling occurs early in astroglial tumorigenesis in the setting of cell proliferation. The distinctive correlative patterns of IGF-1 and IGF-1R expression in glioblastomas also suggest that IGF-1 signaling has an association with the development of malignant phenotypes related to aberrant angiogenesis and invasive tumor interactions with reactive brain.


Assuntos
Astrocitoma/química , Neoplasias Encefálicas/química , Regulação Neoplásica da Expressão Gênica , Fator de Crescimento Insulin-Like I/análise , Proteínas de Neoplasias/análise , Astrocitoma/metabolismo , Astrocitoma/patologia , Neoplasias Encefálicas/metabolismo , Neoplasias Encefálicas/patologia , Transformação Celular Neoplásica/genética , DNA Complementar/genética , Perfilação da Expressão Gênica , Humanos , Hibridização In Situ , Fator de Crescimento Insulin-Like I/biossíntese , Fator de Crescimento Insulin-Like I/genética , Antígeno Ki-67/análise , Índice Mitótico , Invasividade Neoplásica , Proteínas de Neoplasias/biossíntese , Proteínas de Neoplasias/genética , RNA Mensageiro/biossíntese , RNA Mensageiro/genética , RNA Neoplásico/biossíntese , RNA Neoplásico/genética , Receptor IGF Tipo 1/análise , Técnicas Estereotáxicas , Proteína Supressora de Tumor p53/análise
16.
Am J Sports Med ; 26(6): 801-7, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9850782

RESUMO

An in vivo animal model was used to evaluate overuse and overuse plus intrinsic tendon injury or extrinsic tendon compression in the development of rotator cuff injury. Forty-four male Sprague-Dawley rats were divided into groups of 22. Each left shoulder received an intrinsic or extrinsic injury plus overuse (treadmill running), and each right shoulder received only overuse. Eleven rats from each group were sacrificed at 4 and 8 weeks. Supraspinatus tendons were evaluated histologically or geometrically and biomechanically. Ten rats constituted a cage-activity control group. Both supraspinatus tendons of the experimental groups had increases in cellularity and collagen disorganization and changes in cell shape compared with control tendons. Tendons with injury plus overuse exhibited a worse histologic grade than those with overuse alone. The cross-sectional area of both supraspinatus tendons of the experimental rats was significantly more than in control tendons. The area of the injury plus overuse tendons was increased on average compared with overuse-alone tendons. Biomechanically, the tissue moduli of overuse/intrinsic injury tendons at 4 weeks and those of the overuse/extrinsic injury tendons at 8 weeks were significantly lower than in control tendons. Tissue moduli of the overuse/injury tendons were significantly lower than in the overuse-alone tendons at 8 weeks. This study demonstrated that damage to the supraspinatus tendon can be caused by overuse and intrinsic injury, overuse and extrinsic compression, and overuse alone.


Assuntos
Lesões do Manguito Rotador , Traumatismos dos Tendões/fisiopatologia , Tendões/citologia , Animais , Fenômenos Biomecânicos , Colágeno/análise , Força Compressiva , Modelos Animais de Doenças , Masculino , Condicionamento Físico Animal , Ratos , Ratos Sprague-Dawley , Manguito Rotador/fisiopatologia , Tendões/fisiopatologia
17.
Am J Sports Med ; 26(2): 262-5, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9548121

RESUMO

Proprioception, or joint position sense, probably plays an important role in shoulder joint function. In this study, we assessed the effect of muscle fatigue on shoulder proprioception in 20 volunteers with no shoulder abnormalities. Shoulder proprioception was measured as the threshold to first detection of humeral rotation with the joint at 90 degrees of abduction and 90 degrees of external rotation. Subjects were tested while rested, exercised on a isokinetic testing machine until fatigued, and then retested in an identical fashion. Both shoulders were tested, and the order of dominant and nondominant shoulder was randomized. Shoulder proprioception was analyzed for its dependence on arm dominance, direction of rotation, and muscle fatigue. Subjects detected external rotation after significantly less movement than they did internal rotation. Overall, before exercise, motion was detected after a mean of 0.92 degrees of rotation. After exercise, this threshold to detection of movement increased to 1.59 degrees, an increase of 73%. This significant increase occurred with both internal and external rotation. The decrease in proprioceptive sense with muscle fatigue may play a role in decreasing athletic performance and in fatigue-related shoulder dysfunction. It remains to be determined if training can lessen this loss in position sense.


Assuntos
Fadiga Muscular/fisiologia , Propriocepção/fisiologia , Articulação do Ombro/fisiologia , Adulto , Análise de Variância , Braço/fisiologia , Teste de Esforço , Feminino , Humanos , Masculino
19.
J Shoulder Elbow Surg ; 7(6): 599-605, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9883420

RESUMO

Rotator cuff tears are one of the most common causes of pain and disability in the upper extremity. With the use of an animal model, we studied the healing response of a controlled defect in the normal supraspinatus tendon and in a tendon with a reduced intrinsic healing capacity. In 36 Sprague-Dawley rats, defects (2 mm x 2 mm) were created in the supraspinatus tendons bilaterally. To model a tendon with an intrinsically reduced capacity to heal, the tissue adjacent to the defect area in the left shoulder was treated with in situ freezing. The contralateral tendon was not frozen. After 3 (n = 12), 6 (n = 12), and 12 (n = 12) weeks, animals were killed and underwent histologic (n = 4 from each group) and biomechanical (n = 8 from each group) evaluation. An additional group of untreated animals served as a normal control group. On histologic evaluation 78% of tendons had persistent defects (defined as incomplete closure of the defect site). Over time, the tissue from both groups demonstrated an improved histologic grade but did not reach normal levels, even at 12 weeks. No histologic differences were found between defect healing in normal tendons and in those treated with in situ freezing. On biomechanical evaluation there were also no significant differences between treatment groups. Over time, an improvement occurred in tissue properties, indicating that some healing of the defects had occurred. However, these tissue properties remained an order of magnitude lower than those of normal control tendons. These findings indicate that there is an active but inadequate repair response to the defect in the rat supraspinatus tendon, which is not significantly worsened by in situ freezing of the tissue around the defect. This model has applications toward the study of techniques to improve or accelerate cuff defect healing.


Assuntos
Lesões do Manguito Rotador , Cicatrização , Animais , Fenômenos Biomecânicos , Modelos Animais de Doenças , Congelamento , Masculino , Ratos , Ratos Sprague-Dawley , Ruptura
20.
J Orthop Trauma ; 11(5): 351-6, 1997 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9294799

RESUMO

OBJECTIVE: To compare the mechanical effectiveness of three different techniques for stabilization of transverse fractures of the patella. DESIGN: Cadaveric knees were used to model acute fractures of the patella. To test three treatment techniques in pairs of knees, specimen pairs were assigned randomly to a set of predetermined treatment pairs so as to provide equal numbers of paired and unpaired data sets. Results then were analyzed using a two-way analysis of variance. SETTING: The treatment techniques used are widely applicable in the clinical setting for the treatment of transverse fractures of the patella. No specialized equipment or training is required for the general or subspecialized orthopaedic surgeon. PATIENTS/PARTICIPANTS: None. INTERVENTIONS: Fractures were created in eighteen knees (nine pairs) and repaired by one of three techniques: (a) modified tension band (AO technique); (b) two parallel 4.5-millimeter interfragmentary lag screws; or (c) a new technique using four-millimeter cannulated lag screws with a tension band wired through the screws. MAIN OUTCOME MEASURES: In mechanical testing, the amount of interfragmentary separation in simulated knee extension and the maximum load to failure at 45 degrees of flexion were measured. RESULTS: Fractures stabilized with a modified tension band were found to displace significantly more than those fixed with screws alone or screws plus a tension band in simulated knee extensions (p < 0.05). The fractures fixed with the cannulated screws plus the tension band failed at higher loads (mean = 732 newtons) than those stabilized with screws alone (mean = 554 newtons, p = 0.06) or those with a modified tension band (mean = 395 newtons, p < 0.05). CONCLUSIONS: Combining interfragmentary screw fixation with the tension band principle appears to provide improved stability over the modified tension band or screws alone for transverse patella fractures. Cannulated screws allow for simple, reliable addition of a tension band to screw fixation.


Assuntos
Fixação Interna de Fraturas/métodos , Fraturas Ósseas/cirurgia , Patela/lesões , Idoso , Idoso de 80 Anos ou mais , Fenômenos Biomecânicos , Parafusos Ósseos , Cadáver , Fraturas Ósseas/fisiopatologia , Humanos , Pessoa de Meia-Idade
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