bluuebunny/crossref_metadata_2025 huggingface dataset:
Expression of Vascular Endothelial Growth Factor, Receptor KDR and p53 Protein in Transitional Cell Carcinoma of the Bladder
Authors: Liu LuCheng , Zhu DeChun , Gao RuiJuan , Guo Hang
Published: July 2008

Aim: To evaluate the expression profile of vascular endothelial growth factor (VEGF), kinase-insert-domain-containing receptor (KDR) and p53 in patients from Northeastern China with transitional cell carcinoma (TCC) of bladder. Materials and Methods: One hundred and twelve patients with bladder transitional cell carcinoma were involved in this study. The expression of VEGF, KDR and p53 were evaluated by immunohistochemical staining on paraffin-embedded slides. The correlations between the biomarkers with clinical pathological characteristics were assessed; the co-expression of VEGF and KDR in tumor cells as well as the correlation between p53 and VEGF/KDR expression were analyzed. Results: Expression of VEGF, KDR and p53 was observed in 69.6, 55.4 and 48.2% of TCC patients, respectively. VEGF, KDR and p53 expressions were found to be higher in the invasive bladder tumors than in the superficial tumors, and KDR and p53 expression were significantly associated with higher tumor grade. Co-expression of VEGF and KDR was found in 51 patients, and VEGF expression was associated with KDR expression. Positive correlations were found between p53 protein and VEGF/KDR expression. Conclusion: Our results suggest that VEGF, KDR and p53 might be valuable biomarkers in prognosis of TCC patients. Co-expression of VEGF and KDR implied an autocrine signaling of VEGF in tumor cells, and the results of immunohistochemical staining supported the role of p53 gene in the process of angiogenesis.
Haemostatic Radiofrequency Ablation Assisted Partial Nephrectomy: Is Radiofrequency Energy a Viable Solution?
Authors: Salagierski Marek , Salagierski Maciej
Published: July 2008

Aim: We present our experience with partial nephrectomy using radiofrequency energy in patients with kidney cancer. Methods: From July 2002 to February 2007, 15 radiofrequency ablation assisted partial nephrectomies were performed. Five patients had one kidney only. The average tumour size was 34 (range 22–55) mm, and the mean age was 56 (range 45–69) years. The renal pedicle was not clamped. A monopolar cool-tip radiofrequency device under intra-operative ultrasound guidance was used. Our procedure involved inserting a radiofrequency probe around the tumour. The average ablation time was 6–12 min. Afterwards the tumour was removed and analyzed histopathologically. Results: The average follow-up period was 15 (range 1–42) months. Eleven procedures were performed without any complications. In 4 cases, delayed urine leakage was observed. Histopathological examination revealed 13 clear cell renal cell carcinomas and 2 oncocytomas. In all cases the coagulated surgical margins were negative. Currently, the surviving patients have a well-preserved renal function, and there was no tumour recurrence. Conclusions: Radiofrequency ablation assisted partial nephrectomy seems to be an effective method of nephron-sparing surgery. The major advantages of this procedure include easy tumour extraction and no signs of bleeding.
Expression of Parathyroid-Hormone- Related Protein in the Partially Obstructed Rabbit Bladder
Authors: Perez-Martinez Francisco C. , Mannikarottu Anita , Guven Ahmet , Chichester Paul , Juan Yung-Shun , Lin Wei-Yu , Levin Robert M.
Published: July 2008

Introduction: Parathyroid-hormone-related protein (PTHrP) is considered as an autocrine/paracrine regulator of growth and/or differentiation in normal and malignant tissues. We determined the distribution and density of the expression of PTHrP in the rabbit bladder during growth in response to partial outlet obstruction and its relation with the smooth muscle/collagen ratio. Materials and Methods: A total of 30 male New Zealand White rabbits were studied. After 7, 14, 28 or 56 days of obstruction, 6 rabbits per group were sacrificed and the bladder extracted. Six sham-operated rabbits served as controls. The expression and localization of PTHrP or collagen type III were detected by immunohistochemistry using specific antibodies. Results: The levels of PTHrP were progressively increased by 14 days of obstruction, whereas they decreased after 14 days, although the PTHrP positivity was higher than in sham controls by 28 and 56 days of obstruction. PTHrP staining was related to the smooth muscle/collagen ratio, both showing a peak in rabbits obstructed for 14 days. Conclusions: These data indicate that PTHrP may play an important regulatory role in the cellular and vascular response to partial outlet obstruction.
An Unusual Bladder/Cloacal Exstrophy with Urachal Exstrophy
Authors: Sakellaris George , Cervellione Raimondo M. , Dickson Alan P.
Published: July 2008

The authors report a previously unpublished association of bladder exstrophy with cleft lip, exomphalos, Meckel’s diverticulum imperforate anus, and a large urachal mass protruding below the umbilicus. The baby underwent surgical repair of the condition and the postoperative recovery was uneventful. None of the theories formulated to explain the embryogenesis of bladder exstrophy can explain these findings. The abnormality is within the bladder exstrophy/cloacal exstrophy spectrum.
Feasibility of in utero Telemetric Fetal ECG Monitoring in a Lamb Model
Authors: Hermans Bart , Lewi Liesbeth , Jani Jacques , De Buck Frederik , Deprest Jan , Puers Robert
Published: July 2008

Objectives: If fetal ECG (fECG) devices could be miniaturized sufficiently, one could consider their implantation at the time of fetal surgery to allow permanent monitoring of the fetus and timely intervention in the viable period. We set up an experiment to evaluate the feasibility of in utero direct fECG monitoring and telemetric transmission using a small implantable device in a lamb model. Methods: A 2-lead miniature ECG sensor (volume 1.9 cm3; weight 3.9 g) was subcutaneously implanted in 2 fetal lambs at 122 days gestation (range 119–125; term 145 days). The ECG sensor can continuously register and transmit fECG. The signal is captured by an external receiving antenna taped to the maternal abdominal wall. We developed dedicated software running on a commercial laptop for on-line analysis of the transmitted fECG signal. This was a noninterventional study, i.e. daily readings of the fECG signal were done without clinical consequences to the observations. Results: fECG could be successfully registered, transmitted by telemetry and analyzed from the moment of implantation till term birth in one case (24 days). In the second case, unexplained in utero fetal death occurred 12 days after implantation. In this subject, agonal fECG changes were recorded. Conclusion: An implanted miniature (<2 ml) ECG sensor can be used to retrieve, process and transmit continuously a qualitative fECG signal in third-trimester fetal lambs. The telemetric signal could be picked up by an external antenna located within a 20-cm range. In this experiment, this was achieved through taping the external receiver to the maternal abdomen. Any acquired signal could be transmitted to a commercially available laptop that could perform on-line analysis of the signal.
Women’s Perception of Information and Experiences of Nuchal Translucency Screening in Greece
Authors: Gourounti Kleanthi , Lykeridou Katerina , Daskalakis Georgios , Glentis Stavros , Sandall Jane , Antsaklis Aris
Published: July 2008

Objective: First trimester ultrasound (US) screening has become part of antenatal care. The aim of this study was to explore pregnant women’s perceptions of the information given and experiences of first trimester nuchal translucency (NT) screening and to identify the background factors in a woman’s biography that influence her information needs and experiences of NT screening. Methods: This study was a descriptive, prospective survey which involved collecting information from the participants by using a questionnaire and took place in a public hospital in Athens. The sample consisted of 510 consecutive, unselected pregnant women of gestational age between 11 and 14 weeks, who had attended a nuchal translucency (NT) screening. Results: The majority of women felt that they had received either a limited or intermediate amount of information about the US screening and stated that they would have liked to receive more information. However, most of them (98%) answered that their expectations were fulfilled. 82% felt that the US examination was a positive experience, while 16% felt that US examination was a stressful experience. Furthermore, higher rates of positive experiences were observed among women with a higher educational level and greater satisfaction with the information received (χ2(d.f.=6) = 29.411, p = 0.000, χ2(d.f.=3) = 30.171, p = 0.000 respectively). Most women had wished to undertake NT screening to ensure that the fetus was healthy and without any defects and believed that a US examination should be performed at every antenatal visit. Conclusion: This study shows that most women lack information, specifically about the purposes and the diagnostic limitations of NT screening. Health professionals should therefore dedicate more time to discussing with women, and provide appropriate and understandable information tailored to the educational level of women and should emphasize the indications, purposes and limitations of US screening.
Repeated Paracentesis in a Fetus with Meconium Peritonitis with Massive Ascites: A Case Report
Authors: Okawa T. , Soeda S. , Watanabe T. , Sato K. , Sato A.
Published: July 2008

Meconium peritonitis (MP) is defined as a sterile inflammatory reaction in the fetal abdomen that is seen in cases of intrauterine bowel perforation. Recently, there have been increasing numbers of fetuses with MP prenatally diagnosed by ultrasonography. Massive fetal ascites in MP may cause hydrops and hypoplastic lungs. However, antepartum management of MP has not yet been established. We encountered a fetus with MP and massive ascites. Repeated paracentesis between 29 weeks and 4 days and 31 weeks and 6 days of gestation prevented the progression to fetal hydrops and hypoplastic lungs, which may occur due to massive meconium ascites with an increased preload index. Amniocentesis was also performed in patients with polyhydramnios for treatment of preterm labor. These observations suggest that aggressive therapy can prolong the gestation period and improve MP treatment outcomes.
A Stillborn Fetus with Amniotic Band Syndrome and Elevated Levels of α-Fetoprotein plus β-Human Chorionic Gonadotropin: A Case Report
Authors: Sifakis S. , Mantas N. , Konstantinidou A. , Koukoura O. , Avgoustinakis E. , Koumantakis E.
Published: July 2008

Amniotic band syndrome is an uncommon, congenital fetal abnormality with multiple disfiguring and disabling manifestations. A wide spectrum of clinical deformities are encountered and range from simple ring constrictions to major craniofacial and visceral defects. We report a case of constriction amniotic bands involving upper extremities and intrauterine fetal death due to strangulation of umbilical cord. Abnormally elevated levels of α-fetoprotein and β-chorionic gonadotropin were detected at 17 weeks’ gestation. They were probably caused by the loss of cutaneous integrity of the fetus (α-fetoprotein), and by the placental attempt to counteract the fetal growth restriction and hypoxia, due to the strangulation of umbilical cord by the amniotic bands (β-chorionic gonadotropin).
Prenatal Diagnosis and Subsequent Treatment of an Intermediate-Risk Paraspinal Neuroblastoma: Case Report and Review of the Literature
Authors: Blackman Samuel C. , Evenson Amy R. , Voss Stephan D. , Barnewolt Carol E. , Puder Mark
Published: July 2008

Objectives: Neuroblastoma is the most common extracranial solid tumor of childhood, and the most common malignancy diagnosed during infancy. In comparison, neonatal neuroblastoma is relatively rare. Improvements in prenatal imaging and widespread use of fetal ultrasonography have led to an increased rate of prenatal diagnoses. Methods: Case report and literature review. Results: We report a case of an intermediate-risk neuroblastoma, diagnosed at 36 weeks’ gestation by ultrasound and subsequently visualized by fetal MRI, that resulted in spinal cord compression and decreased fetal movement. A multidisciplinary team approach resulted in rapid delivery, evaluation, biopsy, staging, and treatment implementation in a successful effort to preserve lower extremity function. Conclusion: Prenatal diagnosis of neuroblastoma, management and outcomes are reviewed. Prompt diagnosis can strongly influence perinatal management and improve prognosis.
Establishment of a Polymerase Chain Reaction Method for Detection of Escherichia coli in Amniotic Fluid in Patients with Chorioamnionitis
Authors: Daoud Ghada A. , Suzuki Yoshikatsu , Yamamoto Tamao , Suzuki Takashi , Suzumori Nobuhiro , Tanemura Mitsuyo
Published: July 2008

Objective: We investigated whether Escherichia coli could be detected by E. coli of reference (ECOR) grouping and virulence factors (VFs) in amniotic fluid using polymerase chain reaction (PCR). Method: From 18 patients with clinical symptoms, such as cyclic uterine contraction, genital bleeding and cervical ripening, who subsequently developed abortion or labor before term, and from 40 normal pregnant women undergoing diagnostic amniocentesis, amniotic fluid was obtained. All samples were negative for standard culture. Six patients with symptoms were classified into the ECOR group, and with VFs, E. coli was detected in 6 patients. Thus, 4 patients were positive for both tests. Conclusion: We could establish a detection method for E. coli in amniotic fluid using both ECOR grouping and VFs with PCR.
Dandy-Walker Syndrome, Associated Anomalies and Survival through Infancy: A Population-Based Study
Authors: Salihu Hamisu M. , Kornosky Jennifer L. , Druschel Charlotte M.
Published: July 2008

Objectives: To assess infant mortality patterns associated with Dandy-Walker syndrome (DWS) and the impact of concomitant anomalies. Methods: Data for this study were obtained from the New York State Congenital Malformations Registry, an ongoing population-based validated surveillance system. Results: The 196 cases of DWS had a high infant mortality rate (250/1,000), and the elevated risk correlated positively with additional anomalies in a dose-effect pattern (p for trend <0.01). Infants with DWS and two or more affected organ systems were about 6 times as likely to die postneonatally than their counterparts with isolated DWS [adjusted hazards ratio (AHR) = 6.01; 95% CI = 1.52–24.21]. Conclusion: This study confirms the widely held notion that DWS is a heterogeneous rather than a homogeneous entity as shown by the dissimilar infant survival patterns found.
Henry Dale and the Discovery of Chemical Synaptic Transmission
Authors: Todman Don
Published: July 2008

Henry Dale received the Nobel prize in physiology or medicine in 1936 with Otto Loewi for their research which proved chemical synaptic transmission in the peripheral nervous system. Subsequently there was an extended period of controversy between advocates of chemical and electrical transmission before the chemical process was established in the central and peripheral nervous system. This debate and its final resolution was one of the most crucial in the history of neuroscience in the 20th century.
Genetic Analysis of the Angiotensinogen Gene in Pre-Eclampsia: Study of German Women and Review of the Literature
Authors: Knyrim Elke , Muetze Sabine , Eggermann Thomas , Rudnik-Schoeneborn Sabine , Lindt Ria , Ortlepp Jan R. , Rath Werner , Zerres Klaus
Published: July 2008

Aims: To evaluate the influence of the angiotensinogen (AGT) gene on the individual predisposition to pre-eclampsia, we screened the AGT gene for pathogenic mutations and an association of identified polymorphisms in German women with pre-eclampsia. Methods: The study population consisted of 67 German primi- and multigravid patients with pre-eclampsia or superimposed pre-eclampsia and 100 controls with uncomplicated singleton pregnancies. The initial screening for mutations was carried out in a subgroup of pre-eclampsia patients by single-strand conformation polymorphism analysis and direct sequencing. Results: Fifteen single nucleotide polymorphisms (SNPs) were detected, of which 14 had been described before. Allelic frequencies of the detected SNPs were estimated in the total study population. Only the promoter polymorphism g.–570C>T was associated with pre-eclampsia (p = 0.038) but after adjustment for multiple testing p was >0.05. The well-known M268T [M235T] polymorphism was not associated with pre-eclampsia. Conclusion: Our results do not indicate an association of the AGT gene with pre-eclampsia. Data from previously published studies are conflicting: positive results were reported in at least 4 studies, negative results in 10 studies. A possible influence, if existing at all, is obviously very small. AGT therefore does not play a major role in the etiology of pre-eclampsia.
Cognitive Dysfunction in an Urban Indian Population – Some Observations
Authors: Banerjee T.K. , Mukherjee C.S. , Dutt A. , Shekhar A. , Hazra A.
Published: July 2008

There is no prospective study of mild cognitive impairment (MCI) in India. This study aims to determine the prevalence rate of dementia and to prospectively analyze a group of patients with MCI. A door-to-door cross-sectional cluster survey was conducted in Kolkata, India, among those aged >50 years to estimate the prevalence rate of dementia. Then annual assessment of cognitive function using a validated questionnaire battery was undertaken among 21 elderly individuals with memory complaints for 4 consecutive years. A total of 53,907 persons were surveyed. The crude prevalence rates of dementia were 0.62% (95% CI 0.44–0.84) and 1.25% (95% CI 0.87–1.74) among those >50 and >60 years of age, respectively. The weighted prevalence rate among those above 50 years was 0.95% (95% CI 0.68–1.29). Alzheimer’s disease was the commonest subtype (55%) followed by vascular dementia (36%). In a prospective study, MCI remained static, converted to dementia or reverted to normalcy. There was also transition from one subtype of MCI to another. A similar outcome of MCI is also noted in Western nations. However, the prevalence rate of dementia in Eastern India remained quite low.
Biochemical Composition of Fluids for Amnioinfusion during Fetoscopy
Authors: Adama van Scheltema P.N. , In’t Anker P.S. , Vereecken A. , Vandenbussche F.P.H.A. , Deprest J.A. , Devlieger R.
Published: July 2008

Objective: To evaluate which of the commercially available solutions is best suited for amnioinfusion during fetoscopy, based on resemblance with the biochemical properties of amniotic fluid. Materials and Methods: Amniotic fluid samples from 10 pregnancies were studied. Specimens were obtained from 5 pathologic pregnancies (of which 3 were complicated by polyhydramnios) and 5 uncomplicated pregnancies. The concentrations of sodium, potassium, chloride, bicarbonate, calcium, glucose, osmolality, pH, total protein content and albumin were determined in each sample. A literature search (PubMed, Embase) was performed to identify commercially available fluids used for amnioinfusion in clinical practice. The composition of these infusion solutions was compared to the amniotic fluid samples mentioned above. Results: We identified two different electrolyte solutions used in clinical practice for amnioinfusion. We identified four additional commercially available solutions that could potentially be used for amnioinfusion. Most of these infusion solutions differ considerably from midtrimester amniotic fluid samples both in electrolyte composition and pH, with the most striking difference in the latter. Conclusion: Lactated Ringer’s solution approximates amniotic fluid the closest for both electrolyte composition and pH. This infusion solution seems to be the most suitable choice for amnioinfusion during fetoscopy.
Cytoarchitecture of the Abducens Nucleus of Man: A Nissl and Golgi Study
Authors: Bianchi R. , Rodella L. , Rezzani R. , Gioia M.
Published: July 2008

The abducens nucleus is a pontine nucleus directly involved in oculomotion through its connections with the lateral rectus muscle of the eye. The aim of the present study was to investigate the cytoarchitectural organization of the abducens nucleus in man. The data obtained showed that the nerve cell bodies were small, medium and large in size and polygonal, oval, round or spindle shaped. The cytoplasm of all neurons appeared basophilic due to clearly evident scattered Nissl granules. On the basis of the characteristics of the dendritic arborization, multipolar and fusiform cells were identified. The multipolar neurons showed four to eight primary dendrites which gave off a wide secondary ramification. The fusiform neurons showed two dendrites emerging from the opposite poles of the elongated nerve cell body. The dendrites of all the neurons were largely confined within the boundaries of the nucleus. This finding would suggest that the neuronal relationships of the abducens nucleus supplied by the afferent fibers which pass through or end within it take place almost completely inside the nucleus. The wider dendritic arborization shown by the multipolar cells would indicate the latter as the principal target fields for the afferent inputs.
Structural and Architectural Changes during Arterial Development and the Role of Hemodynamics
Authors: Stehbens W.E.
Published: July 2008

Hemodynamics is a major determinant in the anatomical and mural architectural development of the arterial tree. Arterial intimal proliferation commences in utero at specific anatomical sites often appearing eccentric in transverse section and precedes more diffuse concentric thickening. Regarded as an inherent structural component of the wall or an adaptive mural response to increasing hemodynamic stresses concomitant with growth, its occurrence in utero and in lower animals, though generally supportive of this view, ignores qualitative changes. Further doubt derives from the retrogressive destructive nature of structural changes in the arterial wall in the young, individual differences and their continued progression after birth and maturation. It is postulated that concomitantly with arterial development the associated degenerative changes are attributable to hemodynamically induced bioengineering fatigue caused by longitudinal stretching and circumferential distensile effects of the pulse waves and by lesser vibrations generated by flow at sites of predilection for compensatory intimal thickening. This intimal proliferation is the compensatory reparative response to loss of tensile strength of mural constituents and of the vessel wall as a whole.
The Different Responses of the Female Mouse Thymus to Estrogen after Treatment of Neonatal, Prepubertal, and Adult Animals
Authors: Forsberg J.-G.
Published: July 2008

Contrary to the common description of estrogen-induced thymus atrophy we have observed a thymus enlargement after treatment of neonatal female mice with estrogen. We now describe an age-dependent difference in the estrogen response (enlargement, atrophy) as well as mechanisms relevant to the response. Groups of female NMRI mice were treated with estrogen (diethylstilbestrol, DES) at different 5-day periods in prepubertal (day 1-5, day 6-10, day 30-34) or postpubertal life (days 48-52). All the treatment groups showed a reduced thymus weight 4 days after the last treatment but later responses differed. Neonatal DES treatment resulted in an ovary-independent thymus enlargement 8 weeks after the treatment when the cortical part was relatively larger than in controls; treatment on days 30-34 was followed by a rebound type of regeneration; the acute weight reduction after treatment on days 48-52 was normalized 16 days later. Neonatal DES treatment transiently depressed the number of thymic S phase cells 4 days after the treatment while apoptosis was similar in controls and DES females. The estrogen receptor pattern was not affected by DES. The number of white blood cells was temporarily depressed while the bone marrow cellularity was still reduced in 8-week-old females. Neonatal treatment with an LH-releasing hormone antagonist reduced thymus weight at 8 weeks but had no effect on the DES-induced enlargement. The delayed-type hypersensitivity response developed differently in controls and DES females. The thymus enlargement after neonatal estrogen treatment could be the result of an increased immigration of precursor cells into the thymus and/or a defect maturation/emigration mechanism. Further studies on different cell subsets are necessary to explain the mechanism behind the thymus enlargement.
The Cricothyroid Space: Topography and Clinical Implications
Authors: Reidenbach M.M.
Published: July 2008

The inferior border of the thyroid cartilage and the superior rim of the cricoid arch are connected by the cricothyroid membrane and partly covered by the cricothyroid muscles ventrally. This region has been termed the cricothyroid space (CS) and is important with regard to surgical procedures, the spread of laryngeal cancer and traumatic lesions of the larynx. The precise topographic relations of the CS were investigated in plastinated serial sections of 21 normal adult human specimens. The CS consists of a caudal and a cranial portion, which are different with regard to their cartilaginous framework and their relationship to intralaryngeal structures. The caudal portion is bordered by the cricoid cartilage and reveals a complete separation of extra- and intralaryngeal regions by the cricothyroid membrane. It provides an easy access to the subglottic airways. The cranial portion of the CS is mainly bordered by the thyroid cartilage. It is characterized by a gap lateral to the median cricothyroid ligament. This allows a connection of extra- and intralaryngeal adipose tissue. There, extralaryngeal extension of laryngeal cancer preferentially occurs. Traumatic subglottic ruptures of the larynx involve both the caudal and cranial portions of the CS, which often results in extensive scar tissue formation.
Plastination in the Neurosciences
Authors: Weiglein A.H.
Published: July 2008

Plastination is a unique technique of tissue preservation developed by Dr. Gunther von Hagens in Heidelberg, Germany, in 1978. In this process, water and lipids in biological tissues are replaced by curable polymers which are subsequently hardened, resulting in dry, odorless and durable specimens. In neuroanatomy silicone and polyester resins are used. Silicone rubber is used for whole brains and brain dissections resulting in natural looking specimens. Polyester resin is used for brain slices resulting in an excellent distinction between gray and white matter. The silicone S 10 standard technique and the polyester P 35 technique are described in detail. The advantages of plastinated specimens in neuroanatomy teaching and research are discussed.
Sheet Plastination as a Clinically Based Teaching Aid at the University of Auckland
Authors: Cook P.
Published: July 2008

As a concerted move toward closer integration of the clinical and preclinical aspects of the undergraduate medical curriculum at the University of Auckland, the Department of Anatomy with Radiology has implemented a number of clinical procedures, pathological observations and diagnostic methods into the course resulting in a structured program of clinically based teaching of gross anatomy to second- and third-year medical students. The recently developed method of El2 epoxy resin sheet plastination of sectioned cadaver specimens has expanded the learning process twofold, firstly as a developmental microscopy teaching aid enabling us to link histological slides directly to gross anatomical specimens and secondly as a radiographic training tool in the correlation of clinical imaging techniques of magnetic resonance (MRI) and computed tomography (CT) with the teaching of gross anatomy. The direct comparison between El2 serial sectioned cadaver specimens and the equivalent MRI and CT images provides the student with a much clearer understanding of anatomical structures in relation to clinical diagnosis.
Correlating Sheet Plastinated Slices, Computed Tomography Images and Magnetic Resonance Images of the Pelvic Girdle: A Teaching Tool
Authors: Entius C.A.C. , van Rijn R.R. , Holstege J.C. , Stoeckart R. , Zwamborn A.W.
Published: July 2008

Sheet plastination is currently used to produce anatomical slices of different body structures, allowing one to study and teach their topography in an anatomically correct state. Correlation with computed tomography (CT) and magnetic resonance imaging (MRI) techniques gives more insight into their anatomy. Using two female cadaver pelvises CT and MRI were performed. One pelvis was used to prepare 2-mm-thick coronal plastinated slices according to the technique described by von Hagens. We found a good overall correlation between plastinated slices, CT and MRI images. This combined approach provides a unique anatomical insight and is a valuable addition to other teaching tools used by medical students, radiologists and anatomists.
E12 Technique: An Aid to Study Sinuses of Psittacine Birds
Authors: Henry R.W. , Antinoff N. , Janick L. , Orosz S.
Published: July 2008

Infraorbital sinus infections, which form the bulk of upper respiratory tract infections in companion birds, are commonly encountered in clinical practice and often require medical and/or surgical management. The infraorbital sinus with its dorsal drainage into the nasal cavity makes it difficult to treat these infections. The sinus has various compartments throughout the skull and subcutaneous tissue. As an aid in determining the location and extent of the sinuses of the parrot and macaw, a corrosion cast of the infraorbital sinus was made. Also, computed tomography (CT) images of cadaver heads were completed at 2-mm scans. Prior to sectioning for sheet plastination, the infraorbital sinus of one half of the imaged heads was injected with a mixture of colored epoxy. The specimens were frozen (-25 °C) prior to sawing 2-mm-thick sections which corresponded to the CT scans. The sections were dehydrated, impregnated and sheets prepared using the standard E12 technique. The slices were used to identify the compartments of the infraorbital sinuses and to aid identification of such on the CT images.
The Timing and Sequence of Appearance of Neuromeres and Their Derivatives in Staged Human Embryos
Authors: Müller F. , O'Rahilly R.
Published: July 2008

Serial sections of 215 human embryos from Carnegie stages 6–17 were investigated, and 85 graphic reconstructions were prepared. It is proposed that neuromeres be defined as morphologically identifiable transverse subdivisions perpendicular to the longitudinal axis of the embryonic brain and extending onto both sides of the body. It is proposed further that primary neuromeres be redefined as the early-appearing larger divisions of the open neural folds, and secondary neuromeres as the smaller subdivisions that are found both before and after closure of the neural tube. In the light of these definitions, 6 primary neuromeres can be detected in the human brain at stage 9, and a maximum of 16 secondary neuromeres at stage 14. The relationships of the 8 rhombomeres to the associated neural crest, as well as to the pharyngeal arches and the exits of the cranial nerves, are tabulated. Rhombomere 8 (Rh. 8) is intermediate between the more rostral neuromeres and the spinal cord, and its neural relationships indicate that the four occipital somitic pairs do not impress a strictly repetitive pattern as in the spinal cord. Hence, it is suggested that Rh. 8 depends on both intrinsic and extrinsic factors. The synencephalon, parencephalon, and isthmic neuromere can be distinguished in stage 13. In stage 14, rostral and caudal portions of the parencephalon are recognizable, and the full complement of 16 neuromeres is now present. The medial ventricular eminence appears in the diencephalon (Dl). A longitudinal organisation begins to be superimposed on the neuromeres, as now indicated by the appearance of the hypothalamic cell cord. This continues in stage 15, when the hypothalamic sulcus develops. That groove, however, is not continuous with the sulcus limitans. In the diencephalon, five longitudinal zones can be discerned. In stage 16, fibre tracts, such as the habenulo-interpeduncular (fasciculus retroflexus) and the tract of the posterior commissure, outline the boundaries of the synencephalon. In stage 17, the tract of the zona limitans intrathalamica (along the marginal ridge in the parencephalon) is an important landmark. This is the last stage in which all the neuromeres can be distinguished. The supra-mamillary recess becomes defined and is the termination of the sulcus limitans: the alar/basal distinction is inappropriate in the human forebrain. The number and identity of the neuromeres in the human brain, their precise sequence of appearance, and the stages at which they appear are here clarified for the first time. The results of various studies of domains of gene expression indicate that, although in some instances such territories follow the morphological neuromeres, in others they may cross interneuromeric boundaries. It is concluded that the precise morphological study of neuromeres in any given species is necessary for correlative investigations of gene expression.
Is Elastic Energy Storage of Quantitative Relevance for the Functional Morphology of the Human Locomotor Apparatus?
Authors: Witte H. , Recknagel S. , Rao J.G. , Wüthrich M. , Lesch C.
Published: July 2008

Elastic storage of energy in the vertebrate locomotor apparatus is supposed to be an important functional factor in cyclic and acyclic movements. In terms of physics, for humans a proof for the occurence and quantitative relevance of this phenomenon in vivo and under physiological conditions has been missing until now. In addition to the large amount of plausible, but inconclusive information about elasticity in humans and animals, we describe a simple experiment to prove the existence of quantitatively relevant elastic energy storage in the human locomotor apparatus. Ten volunteers (5 female, 5 male) each assumed a relaxed, upright posture on a steel platform. After the release of a support, the volunteers and the platform fell for a defined distance of 33 mm. Loaded with the volunteers, the platform fell significantly (p < 0.001) faster than predicted by the laws of stiff body mechanics (50 vs. 82 ms). For a minimum time of 50 ms, the human locomotor apparatus is able to support an average external power output of more than 400 W by means of an energy transfer of more than 20 J. During the fall, no EMG activities of the ankle flexors could be recorded. We conclude that the acceleration of the platform fall is induced by elastic elements serving as energy sources. Elastic energy storage is of quantitative relevance for the functional morphology and biomechanics of the human locomotor apparatus.
Dynamics of Endothelium-Muscle Cell Contacts in the Coronary Artery of the Dog in Ontogeny
Authors: Kristek F. , Gerovǎ M.
Published: July 2008

The myo-endothelial area in the coronary artery conduit was described in 3 developmental stages: in fetuses, newborns, and adult dogs. Transmission and scanning electron microscopy were used for the study, and morphometry was used for quantitative evaluation. In all three stages, the internal elastic lamina was found to be fenestrated. Endothelial cells and smooth muscle cells (SMC) approached the fenestrae, and protrusions of one or both cells entered into the fenestrae. In some places contacts between endothelial and SMC were found. The patterns of mutual approaches of smooth muscle and endothelial cells, as well as the entering into the fenestrae were similar in all three stages. The myo-endothelial contacts were counted per 100 μm inner circumference of the coronary artery and the numbers observed, i.e. 5.17 ± 0.50 in fetuses, 1.94 ± 0.17 in newborns and 0.33 ± 0.09 in adult animals, proved clearly that the frequency of myo-endothelial contacts, highest in fetuses, decreases with age. With regard to the dual control of the coronary smooth muscle and/or diameter, it is noteworthy that an opposite trend can be observed in the development of innervation of the coronary artery: the autonomic nerve fibres with varicosities are missing in the coronary wall 1 week before birth, while after birth their number keeps increasing. Remarkable enough is also the difference in distances between the endothelium and SMC on the one hand and nerve varicosities and SMC on the other. The above facts indicate a prevalence of endothelial control of coronary diameter.
Magnetic Resonance Imaging of Cerebral Associative White Matter Bundles Employing Fast-Scan Techniques
Authors: Cellerini M. , Konze A. , Caracchíni G. , Santoni M. , Dal Pozzo G.D.
Published: July 2008

Rapid scan techniques have introduced new sequence parameters as well as novel contrast concepts into everyday magnetic resonance imaging (MRI). In particular contrast characteristics of fast-spin echo (FSE) sequences showed some significant differences when compared to conventional spin echo images. The purpose of this work was to demonstrate the capabilities of FSE MRI in identifying and characterizing the in vivo anatomy of the main cerebral associative systems. Between March and November 1995, 20 healthy adult volunteers (12 males, 8 females, mean age 35 years) were submitted to a cranial MRI examination (1.5 Philips Gyroscan NT). In all cases axial and coronal 2-dimensional FSE T2-weighted and 2-dimensional inversion recovery FSE T1-weighted images were obtained. All MRI images were examined by a neuroradiologist (G. Dal Pozzo) for the depiction of the following compact white matter fiber bundles: anterior commissure, corpus callosum, superior fronto-occipital fasciculus, cingulum, fornix, mammillothalamic tract, uncinate fasciculus, superior and inferior longitudinal fasciculus. All these associative pathways could be well identified on T2-weighted images due to a lower signal intensity with respect to the surrounding white matter. On T1-weighted images only the corpus callosum, the anterior commissure and the fornix could always be identified. Correlation with myelin-specific colorations (Luxol fast blue stains) in anatomic atlases and a review of the literature on the myelinization process during infancy indicate that the short T2 relaxation times of the aforementioned cerebral associative systems may be due to heavy myelination and high fiber density. The correct visualization of interintrahemispheric associative white matter fiber bundles may play an important role in white matter disorders like dys- and demyelinating diseases and in the spreading of vasogenic edema and/or tumor being useful for their staging.
Distribution and Ultrastructure of the Stomata Connecting the Pleural Cavity with Lymphatics in the Rat Costal Pleura
Authors: Wang Q.-X. , Ohtani O. , Saitoh M. , Ohtani Y.
Published: July 2008

We investigated the detailed distribution and ultrastructure of the stomata connecting the pleural cavity and the lymphatics in the rat costal pleura by scanning electron, transmission electron and light microscopy. The mesothelial cells lining the costal pleura appeared as both flattened and thick cell bodies. The thick cells possessed more rough endoplasmic reticula, Golgi complexes, mitochondria, and free ribosomes than the flattened cells. The thick cells were distributed in the intercostal regions each cephalic to the junction of the costal cartilage and bone, and in the band-like regions along the cephalic and caudal sides of each rib in the lateral and dorsal thoracic walls. In the regions lined with thick cells, there were stomata [12.9 ± 10.3 µm2 (mean ± SD) in area] consisting of prolongations of thick mesothelial cells and funnel-like projections of lymphatic endothelial cells that came up along the rims of the pores (5.9 ± 3.2 µm2 in average area) in the submesothelial collagen fiber network. At the stomata, the basal lamina of the mesothelium was continuous with that of the endothelium. The mesothelial cells forming the stomata were mostly in close contact with the endothelial cells, but some gaps also existed between them. Valve-like endothelial flaps were frequently observed wherever endothelial cells constituting the stomata merged into the submesothelial lymphatics. Also present were lymphatic bulges that were either in close contact with the base of the thick mesothelial cells or exposed through the mesothelial pores. The lymphatic network was especially well developed in the submesothelial layer at and around the thick-cell regions. The initial lymphatics drained into the intercostal collecting lymphatics, which in turn led into either the parasternal or paravertebral lymphatic trunk. Our results suggest that the stomata play a major role in absorbing fluids and particulates in the pleural cavity. The thick mesothelial cells appear to secrete chemotactic substances to the endothelial cells. Understanding the heterogeneous distribution of the stomata could prove to be important clinically in inflammatory diseases and tumors in the chest.
A Histochemical, Morphometric and Ultrastructural Study of Gastrocnemius and Soleus Muscle Fiber Type Composition in Male and Female Rats
Authors: Ustunel I. , Demir R.
Published: July 2008

The fiber type composition of gastrocnemius and soleus muscles of adult male and female rats was examined by histochemical, morphometric and ultrastructural methods. Six male and 6 female, 3.5-month-old rats were used in the study. The fiber types were determined using the adenosine triphosphatase (ATPase) and succinate dehydrogenase (SDHase) staining techniques. The number of fibers of different types and the diameters of these two muscles were examined by morphometric methods. Gastrocnemius muscles were also examined by transmission electron microscopy. Z-line thickness, actin length, sarcomere length and M-line thickness of the fiber types were compared at the ultrastructural level. No significant differences were observed between the diameters of the gastrocnemius muscle (p > 0.05) of male and female rats although the male animals were significantly larger than the females (p > 0.05). In males, type I fibers of the gastrocnemius were larger than in females (p < 0.05). Region II of the gastrocnemius muscles of females contained more type IIA and type IIB fibers than in males. Sarcomere lengths were also longer in females (p < 0.05). The composition of fiber types of gastrocnemius and soleus muscles may be sex dependent.
Anchoring and Support System of Pulmonary Gas-Exchange Tissue in Four Bird Species
Authors: Klika E. , Scheuermann D.W. , De Groodt-Lasseel M.H.A. , Bazantova I. , Switka A.
Published: July 2008

Avian air capillaries are delicate structures compared to the mammalian pulmonary alveolus. A transmission and scanning electron microscopic study was carried out on several species of birds with the aim of determining the support structures of the avian gas-exchange mantle. Lung tissue of two bird species belonging to strong flying birds (pigeon and barn owl) and two relatively flightless species (domestic fowl and quail) was subjected to standard processing for transmission and scanning electron microscopy after intratracheal inflation. Twisted profiles of lipoproteinaceous trilaminar substance as specific secretory product of avian squamous respiratory cells can be seen in the cell body and cytoplasmic extensions that are wedged between the blood capillaries, partly surrounding them. The intracytoplasmatically located trilaminar complexes form a three-dimensional intricate spiderweb-like system between the blood capillaries and air capillaries, which presumably function as an anchoring and support structure of the gas-exchange tissue. This system is strengthened by retinacula – pairs of attenuated parallel processes of squamous respiratory cells that project to the airway lumen – expanding and bridging the opposite side of air capillaries. The trilaminar substance is discharged in the form of a 15-nm-thick acellular lining layer which is uniquely adapted to the extremely thin respiratory epithelium. The trilaminar substance arises in the cytoplasm of squamous respiratory cells from profiles of granular and smooth endoplasmic reticulum. The integrity and stability of the gas-exchange tissue is likely to be guaranteed by a specific arrangement of the squamous respiratory cells, in which the trilaminar substance plays a paramount role. This general pattern can be observed in strong flying bird species as in the relatively flightless birds.
Cartilage and Synovium of the Human Atlanto-Odontoid Joint
Authors: Ebraheim N.A. , Yang H. , Lu J. , Biyani A. , Yeasting R.A.
Published: July 2008

The surface area, thickness and composition of articular cartilage of the atlanto-odontoid joints were investigated in twenty human cadaveric cervical spine specimens. The specimens were also examined grossly and by light microscopy to determine the location of the synovium. The anterior arch of the atlas and ventral and dorsal articular surfaces of the dens were covered with hyaline cartilage. The mean values of the articular surface areas on the ventral surface of the dens and anterior arch of the atlas were 55.10 and 58.24 mm2, respectively. The mean thickness of the articular cartilage of the anterior arch of the atlas, ventral and dorsal surfaces of the dens was 0.80, 0.81 and 0.82 mm, respectively. Synovial membranes were associated with the joint capsules and surrounding tissues of both anterior and posterior atlanto-odontoid joint spaces, where the synovial membranes were attached to the margins of the articular surfaces of the dens and anterior arch of the atlas anteriorly and the region of the cruciate ligament immediately peripheral to the cartilage region apposed to the dens and dens cartilage itself, posteriorly.
Muscle Fiber Length and Moment Arm Coordination during Dorsi- and Plantarflexion in the Mouse Hindlimb
Authors: Lieber R.L.
Published: July 2008

The purpose of this study was to test the hypothesis that muscle fiber length and joint moment arm are combined in such a way that maximum muscle force is produced during locomotion. Plantarflexor (soleus, SOL and medial gastrocnemius, MG) and dorsiflexor (extensor digitorum longus, EDL and tibialis anterior, TA) muscle architecture in the mouse was measured along with their associated moment arms. Fiber length varied significantly between muscles ranging from 5.7 ± 0.2 mm (MG) to 7.6 ± 0.2 mm (TA). Plantarflexor moment arms were over twice as large as dorsiflexor moment arms (1.88 ± 0.06 mm vs. 0.84 ± 0.03 mm) suggesting a greater muscle length change with joint angle for plantarflexors compared to dorsiflexors. Using a simple muscle-joint model, the active sarcomere length range in these muscle groups was calculated and proved to be quite similar between functional groups. The active range for dorsiflexors was 2.2-2.4 µm, while the active range for plantarflexors was 2.2-2.5 µm, indicating that both muscle groups operate primarily near the plateau of their length tension-relation. Finally, when calculating force produced by muscles during locomotion, the combination of moment arm and fiber length measured in all muscle groups yielded muscle-joint systems that produced near maximal forces at the velocities modeled. These data indicate that fiber length and moment arm appear to be coordinated to yield the greatest possible force production during locomotion.