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  • Bleigewicht  (1)
  • Key words CADASIL  (1)
  • Molecular phylogeny  (1)
  • Pain  (1)
  • 1995-1999  (4)
  • 1950-1954
Collection
Publisher
Years
  • 1995-1999  (4)
  • 1950-1954
Year
  • 1
    ISSN: 1590-3478
    Keywords: Multiple sclerosis ; Pain ; Symptoms ; Treatment
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Sommario L'occorrenza di sindromi dolorose acute (durata inferiore a 1 mese) o croniche (durata superiore a 1 mese) è stata indagata in 49 pazienti (22 maschi e 27 femmine) con sclerosi multipla definita. Ciascun paziente è stato esaminato due volte con un intervallo di 5 anni tra i due controlli. Tra il primo e il secondo controllo si è osservato un significativo aumento di sindromi dolorose acute e croniche comprendenti tensione e dolore alle estremità, spasmi, lombalgia, segno di Lhermitte e dolori neuralgici. Tale aumento si è verificato sia nei maschi che nelle femmine ed è particolarmente evidente nei pazienti con deterioramento e disabilità.
    Notes: Abstract Forty-nine (22 males, 27 females) patients with definite multiple sclerosis were examined twice with 5 years interval regarding acute (less than 1 month duration) and chronic (more than 1 month duration) pain syndromes. From the first to the second examination a significant increase was found in the number of acute and chronic pain syndromes, including tension and pain in the extremities, spasms, low back pain, Lhermitte's sign and neuralgia. The increase included both men and women. The increase was especially found in patients with deterioration of disability.
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  • 2
    ISSN: 1432-2242
    Keywords: Poaceae ; Pooideae ; rDNA sequences ; Molecular phylogeny
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Abstract Phylogenetic relationships of the Poaceae subfamily, Pooideae, were estimated from the sequences of the internal transcribed spacer (ITS) region of nuclear ribosomal DNA. The entire ITS region of 25 species belonging to 19 genera representing seven tribes was directly sequenced from polymerase chain reaction (PCR)-amplified DNA fragments. The published sequence of rice, Oryza saliva, was used as the outgroup. Sequences of these taxa were analyzed with maximum parsimony (PAUP) and the neighbor-joining distance method (NJ). Among the tribes, the Stipeae, Meliceae and Brachypodieae, all with small chromosomes and a basic number more than x=7, diverged in succession. The Poeae, Aveneae, Bromeae and Triticeae, with large chromosomes and a basic number of x=7, form a monophyletic clade. The Poeae and Aveneae are the sister group of the Bromeae and Triticeae. On the ITS tree, the Brachypodieae is distantly related to the Triticeae and Bromeae, which differs from the phylogenies based on restriction-site variation of cpDNA and morphological characters. The phylogenetic relationships of the seven pooid tribes inferred from the ITS sequences are highly concordant with the cytogenetic evidence that the reduction in chromosome number and the increase in chromosome size evolved only once in the pooids and pre-dated the divergence of the Poeae, Aveneae, Bromeae and Triticeae. This paper reports factually on available data; however, the USDA neither guarantees nor warrants the standard of the product, and the use of the name by USDA implies no approval of the product to the exclusion of others that may also be suitable
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  • 3
    ISSN: 1433-0407
    Keywords: Schlüsselwörter Fazialisparese ; Keratopathie ; Bleigewicht ; Lid loading ; Key words Facial palsy ; Keratopathy ; Lead weights ; Lid loading
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Background: For prophylaxis or therapy of lagophthalmic keratopathy ointment application or hour glass dressing is indicated. The hour glass dressing has the disadvantage of a continuous visual impairment by steaming up of the moisture chamber. The main problem for the patients is the strong subjective feeling of physical handicap. A therapeutic alternative is the gravity dependent lidloading, which is known as gold implantation in cases of irreversible lagophthalmos. Methods and patients: By lead weights of 0,8 to 2,0 g, which are fixed to the upper lid by a foil glueing on both sides (Tesafix) or in allergic patients by an adhesive layer, well tolerated by the skin (Combihesive), the lidclosure can become restored without impairment of lidopening. In a controlled study the described method was first tested on 10 normal persons and than applied to 22 patients with lagophthalmos. Meanwhile the new method was applied to 32 further patients. Results: The „liddynamic“ procedure is effective and well tolerated; it is more accepted, especially during the day, because of better visual function and better cosmetics. The hour glass dressing, is still of importance in serious cases of kerathopathy during the night. Conclusion:“lidloading” with lead weights, which are glued by an adhesive layer to the upper lid, can be recommended as a new method in cases of reversible lagophthalmos or as a preparing step before a gold implantation.
    Notes: Zusammenfassung Hintergrund: Zur Prophylaxe oder Therapie einer Keratopathia e lagophthalmo werden üblicherweise Augensalben oder ein Uhrglasverband verordnet. Insbesondere beim Uhrglasverband kommt es aber durch die feuchte Kammer zum inneren Beschlagen des Sichtglases mit erheblich herabgesetztem Visus. In jedem Fall ist die als Behinderung empfundene Lidschlußfehlfunktion nach wie vor gegeben. Als Alternative bietet sich das schwerkraftabhängige „lidloading“ an, welches bisher nur bei irreversiblen Formen des Lagophthalmus mittels Goldimplantationen in das Oberlid durchgeführt wurde. Methode und Patienten: Durch ein Bleigewicht von 0,8 bis 2,0 g, das mittels einer beidseitig klebenden Folie (z. B. Tesafix) oder bei Allergikern mit Hilfe einer hautverträglichen Trägersubstanz (Combihesive) auf dem Oberlid angebracht wird, läßt sich der fehlende Lidschluß bei Fazialisparese wiederherstellen, ohne daß die willkürliche Lidöffnung beeinträchtigt wird. Im Rahmen einer kontrollierten Studie wurde dieses zunächst an 10 gesunden Versuchspersonen und bei 22 Patienten mit Lagophthalmus geprüft und inzwischen bei weiteren 32 Patienten angewandt. Ergebnisse: Das „liddynamische“ Behandlungsverfahren hat sich als effektiv und gut verträglich erwiesen und wird insbesondere am Tage wegen Erhaltung der Sehfunktion sowie besserer Kosmetik leichter akzeptiert als ein Uhrglasverband. Dieser ist jedoch bei schwerer Kerathopathie während der nächtlichen Ruhephase initial sinnvoll. Schlußfolgerung: „Lidloading“ mit Bleigewichten, die mittels einer Trägerschicht auf das Oberlid geklebt werden, kann als neue Methode bei rückbildungsfähigen Formen von Lagophthalmus oder als Vorbereitung auf eine Goldimplantation empfohlen werden.
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  • 4
    ISSN: 1432-0533
    Keywords: Key words CADASIL ; Electron microscopy ; Granular osmiophilic material ; αB crystallin ; Heat ; shock proteins
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a non-arterio-atherosclerotic, non-amyloidotic arteriopathy affecting preferentially the small arteries and arterioles of the brain. The morphologic hallmark is the presence of a characteristic granular alteration of the arterial media that ultrastructurally corresponds to the accumulation of electron-dense material surrounding the smooth muscle cells. Although the presence of this granular osmiophilic material (GOM) was originally described as limited to brain vessels, identical electron microscopic findings have been demonstrated in the media of peripheral tissue arteries, allowing for a pathologic diagnosis of the disease by a simple skin, muscle or nerve biopsy. We report some atypical features identified in our CADASIL patients that broaden the phenotypic expression of this disease. Firstly, we identified a cortical infarct in an otherwise typical CADASIL patient. Secondly, we observed GOM in skin arteries of a 30-year-old man with hemiplegic migraine, the son of a woman who had died with CADASIL. This confirms that it may be possible to diagnose the disease at a preclinical stage by the ultrastructural evaluation of peripheral tissue biopsy material, particularly for individuals for whom there is a supporting family history. Thirdly, ultrastructural examination of the skin, and subcutaneous and striated muscle of an unrelated and apparently sporadic patient with neuropathologic and neuroradiologic evidence of CADASIL in meningeal and cerebral vessels failed to reveal diagnostic lesions in peripheral arteries. Thus, the possibility of a false-negative pathologic diagnosis in patients with a clinicoradiologic diagnosis of CADASIL, if one relies solely on a peripheral tissue biopsy, does exist. Additionally, we have identified heat shock proteins (Hsp70 and αB crystallin) and ubiquitin in the vascular myocytes of affected arteries. αB crystallin also seemed to be deposited extracellularly, which suggests that GOM also might be immunoreactive for αB crystallin.
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