Miracle-dz/UniFAR-FTUs huggingface dataset:
New Classification for Insular Tumors and Surgical Results of 40 Patients

The insular lobe is anatomically deep seated and located close to vital structures (middle cerebral artery, internal capsule, and corresponding opercula). Most insular tumors are of low grade and encountered in younger patients. Radical surgical intervention in this area is challenging but is superior to other treatment modalities. Because of the central location of the insula, most large paralimbic tumors involve it, and they present as insular tumors on radiologic examination. The surgical technique required for removal differs according to the size and location of the tumor. Thus, a classification system to aid in the choice of technique would be helpful. In this retrospective study, 40 patients (24 female and 16 male with mean age of 27 years) with insular tumors (62.5% were of low grade, 37.5% were of high grade) operated on between November 1996 and January 2001 were evaluated. Preoperative localization was classified according to our tentative new system based on preoperative magnetic resonance imaging (MRI): 15 of the tumors were restricted to the insula and corresponding opercula, and the others involved more mesocortical and/or allocortical areas. All the patients were operated on microsurgically by the transsylvian route. Comparing the preoperative and postoperative MRI studies, the patients were classified into three groups based on gross total (almost total) resection, nearly total resection (80%–100%), and partial resection (50%–80%) according to the reduction of tumor diameter as measured by neuroradiologists. Resection was gross total in 60% of cases, nearly total in 30%, and partial in 10%. Residual tumors were located near the internal capsule or beyond the posterior parahippocampal area. There was no perioperative mortality, and major complications were permanent hemiparesis in 2 patients and dysphasia in 1. During the follow-up period (mean of 24 months), 6 patients died as the result of uncontrollable tumor progression (4 cases of glioblastoma multiforme, 1 metastasis, and 1 grade 3 astrocytoma), and we still have 1 glioblastoma multiforme, 1 grade 3 oligoastrocytoma, 1 grade 2 oligoastrocytoma, and 1 grade 2 astrocytoma patients with tumor progression. To achieve more radical resection, the insular tumors originating from any parts of the paralimbic or limbic structures need a practical classification system based on the degree of extension obtained by means of preoperative MRI.
Hypnosis for Acute Procedural Pain: A Critical Review

Abstract Clinical evidence for the effectiveness of hypnosis in the treatment of acute procedural pain was critically evaluated based on reports from randomized controlled clinical trials (RCTs). Results from the 29 RCTs meeting inclusion criteria suggest that hypnosis decreases pain compared to standard care and attention control groups and that it is at least as effective as comparable adjunct psychological or behavioral therapies. In addition, applying hypnosis in multiple sessions prior to the day of the procedure produced the highest percentage of significant results. Hypnosis was most effective in minor surgical procedures. However, interpretations are limited by considerable risk of bias. Further studies using minimally effective control conditions and systematic control of intervention dose and timing are required to strengthen conclusions.
Trabecular Bone Structure in the Humeral and Femoral Heads of Anthropoid Primates

The functional significance of three‐dimensional trabecular bone architecture in the primate postcranial skeleton has received significant interest over the last decade. Some previous work has produced promising results, finding significant relationships between femoral head trabecular bone structure and hypothesized locomotor loading in leaping and nonleaping strepsirrhines. Conversely, most studies of anthropoid femoral head bone structure have found broad similarity across taxonomic and locomotor groups. The goal of this study is to expand on past analyses of anthropoid trabecular bone structure by assessing the effects of differential limb usage on the trabecular bone architecture of the forelimb and hindlimb across taxa characterized by diverse locomotor behaviors, including brachiation, quadrupedalism, and climbing. High‐resolution x‐ray computed tomography scans were collected from the proximal humerus and proximal femur of 55 individuals from five anthropoid primate species, including Symphalangus syndactylus, Papio sp. , Presbytis rubicunda, Alouatta caraya, and Pan troglodytes. Trabecular bone structural features including bone volume fraction, anisotropy, trabecular thickness, and trabecular number were quantified in large volumes positioned in the center of the humeral or femoral head. Femoral head trabecular bone volume is consistently and significantly higher than trabecular bone volume in the humerus in all taxa independent of locomotor behavior. Humeral trabecular bone is more isotropic than femoral trabecular bone in all species sampled, possibly reflecting the emphasis on a mobile shoulder joint and manipulative forelimb. The results indicate broad similarity in trabecular bone structure in these bones across anthropoids. Anat Rec, 293:719–729, 2010. © 2010 Wiley‐Liss, Inc.
A New Model for Calculating the Lumbar Lordosis Angle in Early Hominids and in the Spine of the Neanderthal From Kebara

The debate over the posture of early hominids is longstanding, perhaps because the absence of a reliable method for reconstructing the lumbar lordosis angle (LA) in early hominid spines has made it difficult to determine whether their posture resembled or differed from that of modern humans. We have developed a new model for predicting the lordotic curvature of the lumbar spine of early hominids based on the relationship between the lordotic curvature and the orientation of the articular processes in the lumbar spines of living primates (modern humans and nonhuman primates). The orientation of the inferior articular processes explains 89% of the variation in lordotic curvature among living primates and, thus, should be a reliable predictor of the lumbar LA in disarticulated hominid spines. Based on this model, we calculated a LA of 25–26 degree angle for the Kebara 2 Neanderthal. The calculated value for Kebara 2 is below the normal range of lordosis for modern humans (30–79 degree angle). Anat Rec 293:1140–1145, 2010. © 2010 Wiley‐Liss, Inc.
Dopaminergic and Serotonergic Genotypes and the Subjective Experiences of Hypnosis

Abstract Hypnotizability is related to the Val158Met polymorphism of the COMT gene. The authors’ aim was to find associations between candidate genes and subjective dimensions of hypnosis; 136 subjects participated in hypnosis and noninvasive DNA sampling. The phenomenological dimensions were tapped by the Archaic Involvement Measure (AIM), the Phenomenology of Consciousness Inventory (PCI), and the Dyadic Interactional Harmony Questionnaire (DIH). The main results were that the “Need of dependence” subscale of AIM was associated with the COMT genotypes. The GG subgroup showed higher scores, whereas AA had below average scores on the majority of the subjective measures. An association between the 5-HTTLPR polymorphism and the intimacy scores on the DIH was also evident. The effects are discussed in the social–psychobiological model of hypnosis.
Lymphatic/Blood Endothelial Cell Connections at the Capillary Level in Adult Rat Mesentery

Analyses of microvascular networks with traditional tracer filling techniques suggest that the blood and lymphatic systems are distinct without direct communications, yet involvement of common growth factors during angiogenesis and lymphangiogenesis suggest that interactions at the capillary level are possible. To investigate the structural basis for lymphatic/blood endothelial cell connections during normal physiological growth, the objective of this study was to characterize the spatial relations between lymphatic and blood capillaries in adult rat mesenteric tissue. Using immunohistochemical methods, adult male Wistar rat mesenteric tissues were labeled with antibodies against PECAM (an endothelial marker) and LYVE‐1, Prox‐1, or Podoplanin (lymphatic endothelial markers) or NG2 (a pericyte marker). Positive PECAM labeling identified apparent lymphatic/blood endothelial cell connections at the capillary level characterized by direct contact or direct alignment with one another. In PECAM labeled networks, a subset of the lymphatic and blood capillary blind ends were connected with each other. Intravital imaging of FITC‐Albumin injected through the femoral vein did not identify lymphatic vessels. At contact sites, lymphatic endothelial markers did not extend along blood capillary segments. However, PECAM positive lymphatic sprouts, structurally similar to blood capillary sprouts, lacked observable lymphatic marker labeling. These observations suggest that nonlumenal lymphatic/blood endothelial cell interactions exist in unstimulated adult microvascular networks and highlight the potential for lymphatic/blood endothelial cell plasticity. Anat Rec 293:1629–1638, 2010. © 2010 Wiley‐Liss, Inc.
Auditory Morphology and Hearing Sensitivity in Fossil New World Monkeys

In recent years it has become possible to investigate the hearing capabilities in fossils by analogy with studies in living taxa that correlate the bony morphology of the auditory system with hearing sensitivity. In this analysis, we used a jack‐knife procedure to test the accuracy of one such study that examined the functional morphology of the primate auditory system and we found that low‐frequency hearing (sound pressure level at 250 Hz) can be predicted with relatively high confidence (±3–8 dB depending on the structure). Based on these functional relationships, we then used high‐resolution computed tomography to examine the auditory region of three fossil New World monkeys (Homunculus, Dolicocebus, and Tremacebus) and compared their morphology and predicted low‐frequency sensitivity with a phylogenetically diverse sample of extant primates. These comparisons reveal that these extinct taxa shared many auditory characteristics with living platyrrhines. However, the fossil with the best preserved auditory region (Homunculus) also displayed a few unique features such as the relative size of the tympanic membrane and stapedial footplate and the degree of trabeculation of the anterior accessory cavity. Still, the majority of evidence suggests that these fossil species likely had similar low‐frequency sensitivity to extant South American monkeys. This research adds to the small but growing body of evidence on the evolution of hearing abilities in extinct taxa and lays the groundwork for predicting hearing sensitivity in additional fossil primate specimens. Anat Rec 293:1711–1721, 2010. © 2010 Wiley‐Liss, Inc.
Stochastic Morphometric Model of the Balb/c Mouse Lung

The laboratory mouse is often used as a human surrogate in aerosol inhalation studies. Morphometric data on the tracheobronchial geometry of three in situ lung casts of the Balb/c mouse lung produced by the Air Pollution Health Effects Laboratory were analyzed in terms of probability density functions and correlations among the different airway parameters. The results of this statistical analysis reveal significant differences in diameters and branching angles between major and minor progeny branching off from the same parent airway at a given airway bifurcation. Number of bronchial airways generations along a given path, expressed by the termination probability, branching angles, and daughter‐to‐parent diameter ratios indicate that the location of an airway with defined linear airway dimensions within the lung is more appropriately identified by its diameter (or its parent diameter) than by an assigned generation number. We, therefore, recommend classifying the mouse lung airways by their diameters and not by generation numbers, consistent with our previous analysis of the rather monopodial structure of the rat lung (Koblinger et al., J Aerosol Med 1995;8:7–19; Koblinger and Hofmann, J Aerosol Med 1995;8:21–32). Because of lack of corresponding information on respiratory airways, a partly stochastic symmetric acinar airway model was attached to the tracheobronchial model, in which the number of acinar airways along a given path was randomly selected from a measured acinar volume distribution. The computed distributions of the geometric airway parameters and their correlations will be used for random pathway selection of inhaled particles in subsequent Monte Carlo deposition calculations. Anat Rec 293:1766–1786, 2010. © 2010 Wiley‐Liss, Inc.
The case for pancreas after kidney transplantation

Abstract: Pancreas after kidney (PAK) transplantation has historically demonstrated inferior pancreas allograft survival compared to simultaneous pancreas and kidney (SPK) transplantation. Under our current immunosuppression protocol, we have noted excellent outcomes and rare immunological graft loss. The goal of this study was to compare pancreas allograft survival in PAK and SPK recipients using this regimen. This was a single center retrospective review of all SPK and PAK transplants performed between January 2003 and November 2007. All transplants were performed with systemic venous drainage and enteric exocrine drainage. Immunosuppression included induction with rabbit anti‐thymocyte globulin (thymoglobulin), early steroid withdrawal, and maintenance with tacrolimus and sirolimus or mycophenolate mofetil. Study end points included graft and patient survival and immunosuppression related complications. Transplants included PAK 61 (30%) and SPK 142 (70%). One‐yr patient survival was PAK 98% and SPK 95% (p = 0.44) and pancreas graft survival was PAK 95% and SPK 90% (p = 0.28). Acute cellular rejection was uncommon with 2% requiring treatment in each group. Survival for PAK using thymoglobulin induction, early steroid withdrawal and tacrolimus‐based immunosuppression is at least comparable to SPK and should be pursued in the recipient with a potential living donor.
The Relationship Between Aquaporin‐4 Expression and Blood‐Brain and Spinal Cord Barrier Permeability Following Experimental Autoimmune Encephalomyelitis in the Rat

Aquaporin 4(AQP4) is a water channel protein strongly expressed in the central nervous system in perimicrovessel astrocyte foot processes, the glia limitans, and ependyma. Expression of AQP4 is highest at the blood‐brain barrier and blood‐spinal cord barrier, supporting its critical function in material transport across these structures. Recently, presence of the anti‐aquaporin‐4 antibody in sera has been used as an important diagnostic tool for neuromyelitis optica, suggesting a potential role in central nervous system inflammation. The aim of the present study was to examine AQP4 protein expression in the cerebellum and spinal cord from rats with experimental autoimmune encephalomyelitis. By western blot analysis, AQP4 expression increased during experimental autoimmune encephalomyelitis development, and peaked at onset (lumbar enlargement) or climax (cerebellum) of neurological signs of experimental autoimmune encephalomyelitis. There was also a faster and more pronounced increase in permeability in the cerebellar blood‐brain barrier and the lumbar enlargement blood‐spinal cord barrier consistent with AQP4 expression, which was manifested by increased Evans Blue leakage and reduced tight junction protein expression. In conclusion, aquaporin upregulation may be involved in the development of inflammation in the acute phase of experimental autoimmune encephalomyelitis, and may correlate with damage to central nervous system barrier function. Anat Rec, 2010. © 2010 Wiley‐Liss, Inc.
Validation of methodologies for quantifying isolated human islets: an islet cell resources study

Kissler HJ, Niland JC, Olack B, Ricordi C, Hering B J, Naji A, Kandeel F, Oberholzer J, Fernandez L, Contreras J, Stiller T, Sowinski J, Kaufman DB. Validation of methodologies for quantifying isolated human islets: an islet cell resources study. Clin Transplant 2009 DOI: 10.1111/j.1399‐0012.2009. 01052.x. © 2009 John Wiley & Sons A/S.
Oviductal Structure and Ultrastructure of the Oviparous Gecko, Hemidactylus mabouia (Moreau De Jonnès, 1818)

Lizards of the family Gekkonidae display a variety of reproductive patterns, as evidenced by the presence of viviparous and oviparous species. The species Hemidactylus mabouia is oviparous. We examined, in vitellogenic females, oviductal structure by light microscopy after routine histological and histochemical techniques, as well as by scanning and transmission electron microscopy. The oviduct is composed of four different regions: the infundibulum, which opens into the coelomic cavity and receives the oocyte released at the time of ovulation; the uterine tube, where sperm storage takes place; the uterus, which is responsible for the eggshell production; and the vagina, the final portion of the oviduct that leads to the cloaca. The oviductal structure of H. mabouia is similar to that of other oviparous lizard species and can be useful for morphological comparative analysis among reptile species. Anat Rec,, 2011. © 2011 Wiley‐Liss, Inc.
Improved Assessment of Ex Vivo Brainstem Neuroanatomy With High‐Resolution MRI and DTI at 7 Tesla

The aim of the present work was to provide the topography of the main gray nuclei and white matter tracts of the human brainstem at 7 Tesla (7 T) high‐field magnetic resonance imaging (MRI) using structural imaging (T1) and diffusion tensor imaging (DTI). Both imaging techniques represent a new field of increasing interest for its potential neuroanatomic and neuropathologic value. Brainstems were obtained postmortem from human donors, fixated by intracarotid perfusion of 10% neutral buffered formalin, and scanned in a Bruker BioSpec 7 T horizontal scanner. 3D‐data sets were acquired using the modified driven equilibrium Fourier transform (MDEFT) sequence and Spin Echo‐DTI (SE‐DTI) sequence was used for DTI acquisition. High‐resolution structural MRI and DTI of the human brainstem acquired postmortem reveals its basic cyto‐ and myeloar‐chitectonic organization, only visualized to this moment by histological techniques and higher magnetic field strengths. Brainstem structures that are usually not observed with lower magnetic fields were now topographically identified at midbrain, pons, and medullar levels. The application of high‐resolution structural MRI will contribute to precisely determine the extension and topography of brain lesions. Indeed, the current findings will be useful to interpret future high‐resolution in vivo MRI studies in living humans. Anat Rec, 2011. © 2011 Wiley‐Liss, Inc.
5‐Nitro‐2‐(3‐Phenylpropylamino) Benzoic Acid Induced Drug Resistance to Cisplatin in Human Erythroleukemia Cell Lines

Mechanisms of cisplatin resistance in cancer cells are not fully understood. Here, we showed a critical role for the chloride channel‐3 (ClC‐3) in cisplatin resistance in human erythroleukemia K562 and RK562 cells. We found that a chloride channel blocker 5‐nitro‐2‐(3‐phenylpropylamino) benzoic acid (NPPB) could protect cells from cisplatin‐induced apoptosis. NPPB treatment decreased the mRNA and the protein expression of Bax/Bcl‐2, decreased the protein expressions of cytochrome C and caspase‐3, and increased the mRNA expressions of cyclin D1 and ClC‐3 in cells treated with cisplatin. The caspase‐3 activity was decreased significantly and the rate of cell apoptosis was decreased. NPPB treatment increased CIC‐3 expression, which could increase acidification of intracellular compartments, and increased sequestration of cisplatin, inducing decreased effective drug concentrations, and subsequently cell death. Collectively, our data indicate that NPPB can induce drug resistance to cisplatin by upregulating the expression of CIC‐3. NPPB‐induced CIC‐3 expression facilitates acidification of sequestrated cisplatin, and plays an important role in preventing cisplatin‐induced apoptosis in human erythroleukemia K562 and RK562 cells. Anat Rec,, 2011. © 2011 Wiley‐Liss, Inc.
Radiofrequency ablation of the basivertebral nerve as potential treatment of back pain: pathologic assessment in an ovine model (Invited Paper)

Pathological involvement of the basivertebral nerve (BVN), an intraosseous vertebral nerve, may play a significant role in some forms of back pain. This study was designed to assess the feasibility and effects of thermal ablation of the lumbar basivertebral nerve in mature sheep. Sixteen adult female sheep weighing 65-80 kg were anesthetized and positioned for ventral recumbent surgery. Under fluoroscopic guidance, two bilarterally oposed 5mm active length rediofrequency (RF) electrodes (1.65mm diameter were perfutaneously placed in select lumbar vertebrae at a relative angle of 70 degrees with a 5 mm tip separation. The elctrodes were advanced to the region of the vertebral bodies which contained the BVN. A thermal dose of 95° C/720 seconds was administered. Animals were survived for 2, 14, 90, or 180 days post-treatment. Clinical, radiologic and pathologic investigations were performed to determine the effect of the heat on the BVN and associated tissues. Thermal damage to the basivertebral neurovascular bundle was characterized by early hemorrhage and necrosis, followed by inflammation and fibrosis. Although there wasa significant revascularization of the treated bone marow regions, there was no evidence of basivertebral nerve survival or regeneration regeneration. In addition to ablation of teh basivertebral nerovascular bundle, the areas receiving the greatest treatment demonstrated initial mild local osteolysis and demineralization of the vertebral body bone and regional depopulation of the vertebral bone marrow cellular elements. Significant bone remodeling in the affected areas had begun by 14 days post-treatment. Bone remodeling was characterized by conventional osteoblast proliferation, osteoid deposition, and mineralization. This study demonstrated the ability to accurately, reproducibly, and safely ablate the basivertebral nerve and neurovascular bundle in mature sheep using a fluoroscopically guided percutaneously delivered radiofrequency technique.
Prevalence of sickle cell trait in dialysis patients

The sickle cell nephropathy is described as a homozygous sickle cell disease. However, there is no consensus as to the heterozygotes, thus other investigations are required to provide further information on this topic. This study aimed at determining the frequency of sickle cell trait in a population of chronic renal failure patients in the city of Niteroi.
Functional Morphology of the Tongue in the Domestic Goose (Anser Anser f. Domestica)

Using LM and SEM methods, the study describes microstructures in particular areas of the tongue of the goose. A thick multilayered keratinized epithelium forms the “lingual nail” and covers small and giant conical papillae, whereby the first functions as an exoskeleton of the tongue apex, and the latter are arranged along the lingual and well‐developed connective tissue cores, and together with the bill lamellae are involved in cutting. The row of conical papillae on the lingual prominence prevents regurgitation of transported food. In the area of the “lingual nail” and in the anterior part of the lingual prominence, Herbst corpuscles are accumulated, which allow to recognize food position. Filiform papillae, as widely distributed between the conical papillae of the body, are responsible for filtering. They can be explained as long keratinized processes of the epithelium and are devoid of connective tissue cores. During food transport, the flattened areas of the lingual body and the lingual prominence are protected by a parakeratinized epithelium, but the root is covered by a nonkeratinized epithelium. The presence of adipose tissue in the tongue probably reduces pressure during food passage, but also promotes mucus evacuation from the lingual glands, thus facilitating food transport. An entoglossal bone with a continuation as cartilage is the stable structural basis of the tongue system. Anat Rec, 2011. © 2011 Wiley‐Liss, Inc.