Microsurgical reconstruction during treatment of oncological diseases of head and neck

In 37 oncological patients where extensive resections of the face, maxilla, mandible or calva were necessary, microsurgical reconstructions were used in 27 cases as primary operations at the time of resection, and in 10 cases delayed or secondary operations were made. 49 flaps were used. In five cases two flaps were used in a single stage reconstruction, i.e. one flap for reconstruction of the mandible or buccal and on the other for facial side of the face. During operations a multidisciplinary approach of the surgical team comprising a maxillofacial surgeon, ENT and plastic surgeon is preferred.

Assessment of metals and metalloids in skin derivatives of volunteers from capital city of Prague, Czech Republic

Instrumental neutron activation was employed to determine 12 elements (Al, As, Co, Cr, Cu, Fe, Hg, Mn, Mo, Sb, V, Zn) in derivatives of the epidermis (human scalp hair, public hairs and toenails) from 188 women and 74 men of the population of the Capital City of Prague. Statistically significant differences are discussed, occurring during the comparison of groups arranged in terms of various factors (type of material analyzed, age, sex, environmental exposure of the dwelling and/or occupation locality, type of occupation--mental or manual, smoking, alcohol consumption, allergy, hysterectomy and selected diseases). Statistically significantly increased levels of elements in materials coming from Prague areas with higher environmental burden are considered as the most valuable result.

[Topical preparations for burns and their evaluation]

The study focused on some problems connected with the formulation of the topical preparation of the hydrocream type, intended for the treatment of dermal burns. Seven cream bases containing Emulgator E 2155, Polysorbate 80 and silicone oils were evaluated. The employed drugs included carbizocaine, lidocaine, chlorohexidine, and the immunomodulating substance glucan. A measurement of the surface tension of chlorohexidine and carbizocaine did not reveal interaction between these two drugs. Liberation tests confirmed a higher release of lidocaine in comparison with carbizocaine and chlorohexidine. The silicone oil present did not influence the release of carbizocaine, but it promoted the release of lidocaine and chlorohexidine. The determination of rheological parameters revealed that an addition of drugs influenced the flow properties of creams. The suitability of cream ointments was evaluated on the basis of their drying.

Neurotrophin-3 and trkC in muscle are non-essential for the development of mouse muscle spindles

Neurotrophin-3 (NT3) or TrkC null mutant mice were examined for the presence of muscle spindles. Muscles of mastication, but not limbs, contained spindles in newborn and adolescent mutants. The intramuscular distribution and morphological properties of spindles in mutant masticatory muscles were indistinguishable from those of wild-type spindles. Intrafusal fibers of NT3- or trkC-deficient spindles-expressed the slow-tonic isoform of myosin heavy chains, characteristic of wild-type spindles. Sensory nerve endings were observed in spindles of mutants by electron microscopy. Thus, NT3 or trkC, which is expressed in wild-type spindles, may serve functions other than those related to spindle assembly. Presumably, proprioceptive neurons innervating jaw muscles are dependent on factors other than NT3 for survival and maintenance.

Introduction of a neurotrophin-3 transgene into muscle selectively rescues proprioceptive neurons in mice lacking endogenous neurotrophin-3

To clarify the role of muscle-derived neurotrophin-3 (NT-3) in the development of sensory neurons, we generated transgenic mice selectively overexpressing NT-3 in skeletal muscles under the control of a myogenin promoter (myo-NT-3 mice). The myo-NT-3 transgene was then bred into an NT-3 null mutant (-/-) line to generate myo-NT-3, NT-3(-/-) mice in which NT-3 was expressed in muscles, but not elsewhere. Transient overexpression of NT-3 in developing muscles increased the number of proprioceptive neurons as well as the density of both their central and peripheral projections, resulting in more Ia afferents in spinal cord and more spindles (end organs of Ia afferents) in muscles. NT-3 expression restricted to muscles was sufficient to secure the development of proprioceptive neurons and their central and peripheral projections in myo-NT-3, NT-3(-/-) mice. The loss of nonproprioceptive neurons observed in NT-3(-/-) mice was not reversed by the transgene, suggesting that these neurons are regulated by NT-3 from sources other than muscle. We conclude that target-derived rather than intraganglionic NT-3 is preeminent in supporting the development of proprioceptive neurons. The level of NT-3 in developing muscles may be the principal factor determining the number of proprioceptive neurons in dorsal root ganglions and spindles in skeletal muscles of adults.

Limb proprioceptive deficits without neuronal loss in transgenic mice overexpressing neurotrophin-3 in the developing nervous system

The role of neurotrophin-3 (NT3) during sensory neuron development was investigated in transgenic mice overexpressing NT3 under the control of the promoter and enhancer regions of the nestin gene, an intermediate filament gene widely expressed in the developing nervous system. Most of these mice died during the first postnatal day, and all showed severe limb ataxia suggestive of limb proprioceptive dysfunction. Tracing and histological analyses revealed a complete loss of spindles in limb muscles, absence of peripheral and central Ia projections, and lack of cells immunoreactive to parvalbumin in the dorsal root ganglion (DRG). Despite these deficits, there was no neuronal loss in the DRG of these mice. At birth, transgenic DRG showed increased neuron numbers, and displayed a normal proportion of neurons expressing substance P, calcitonin gene-related peptide and the NT3 receptor trkC. Transgenic dorsal roots exhibited an increased number of axons at birth, indicating that all sensory neurons in transgenic mice projected to the dorsal spinal cord. Despite the absence of central Ia afferents reaching motorneurons, several sensory fibers were seen projecting towards ectopic high levels of NT3 in the midline of transgenic spinal cords. These findings suggest novel roles for NT3 in differentiation of proprioceptive neurons, target invasion and formation of Ia projections which are independent from its effects on neuronal survival.

Bilateral xanthine nephrolithiasis in a dog

Xanthinuria is an uncommon metabolic disorder clinically manifested as urolithiasis. There are two forms of the disease, congenital and iatrogenic. The former was diagnosed in a four-year-old dachshund bitch. The patient was presented with signs of terminal chronic renal failure. Urine was bacteriologically sterile with massive amorphous crystalluria. Bilateral nephrolithiasis was diagnosed at necropsy. The kidneys were shrunken with marked atrophy of the renal cortex and medulla. Infrared spectrometry revealed that the stones comprised 100 per cent xanthine. Later, two of the patient's siblings were examined for urine xanthine content; both showed higher concentrations of xanthine than a control dog. The described case is compared with seven known published cases of congenital xanthinuria.

Brown recluse spider bite: a case study

The case of a young man with a chronic, resistant, and unpredictable wound is described. The wound is believed to have been caused by the bite of a brown recluse spider. This article presents a brief overview of the potential sequelae of brown recluse spider bite and a pictorial review of this young man's wound during a 22-month period.

Environmental specimen banking in the Czech Republic: a pilot study

In recognition of the importance of environmental specimen banking (ESB) as an important component of the described ongoing real-time environmental and health-related monitoring programmes, a proposal for a planned ESB pilot study in the Czech Republic is presented. Selection of biomonitors, analytes, sampling techniques and sites is discussed, especially with regard to the possible harmonization with ESB already operational abroad. Availability of validated analytical techniques for determination of up to 30 elements using nuclear and spectroscopic techniques, including speciation of several metals, and of the most important organic pollutants employing various chromatographic techniques in biological and environmental samples is demonstrated.

[Transdermal administration of drugs. XI. Formulation of polymeric matrices with metoprolol in transdermal therapeutic systems]

The paper is concerned with formulation studies of the transdermal therapeutic system of the matrix type with beta-adrenolytic drug metoprolol. The base of the hydrophobic matrix is the biocompatible polymer-silicone rubber, and the hydrophilic matrix was prepared from the polyacrylate polymer of the Eudragit type. The properties of the silicone matrix were modified by the additive Methocel F 4M, macrogol 600, copolymer p (HEMA) with methacrylic acid and polyacrylamide. The matrices were evaluated on the basis of the results of in vitro liberation of the drug at 32 degrees C. The liberation profiles of metoprolol were evaluated by means of the parameters of Tornquist hyperbolic function calculated by nonlinear regression. Of the composite ingredients of the silicone matrix, Methocel F 4M proved to be the best. Metoprolol was released most from the hydrophilic matrix prepared from Eudragit NE 30D. It released 12.32 mg.cm(-2).24 h-1 of metoprolol.

[Physiology and pathophysiology of cardiac impulse conduction]

Representation of cardiac tissue by a continuous electrical cable provides a simple tool to explain impulse propagation and to make a comparison between heart, skeletal muscle and nerve. Recent experimental and theoretical studies have shown, however, that the process of electrical impulse propagation in heart is complex, due to the presence of cell borders and septa of connective tissue. At sites where propagation deviates from a linear profile, action potential generation gets delayed, and in cases of decreased excitability, unidirectional block may occur. At such sites, propagation is carried by the slow Ca++ inward current, in addition to the rapid Na+ inward current. As a consequence, local propagation may become sensitive to inhibition of Ca++ channels. Moreover, computer simulations have shown that electrical cell-to-cell uncoupling an gap junctions can reverse unidirectional block at such sites to bidirectional conduction. This complex interaction between function and structure which is likely to play a major role in remodeled tissue (hypertrophy, chronic infarction) has to be taken into account in the evaluation of the mechanisms of action of antiarrhythmic drugs.

Effects of hemodialysis on bone mineral as followed by using neutron activation analysis

The purpose of the study was to bring a contribution to the knowledge of physiology and pathophysiology of the bone mineral heteroionic exchange with respect to sodium ions and metabolic diseases, particularly bone diseases. The instrumental neutron activation analysis was employed to follow the ratio of contents Na/Ca in bone samples from dialyzed patients. A formerly elaborated method for the determination of the Na/Ca ratio in undecalcified bone tissue sections obtained from material embedded in polymethylmethacrylate was used. In the reference group the Na/Ca ratio was of 0.021 +/- 0.003, that in patients with the renal osteopathy was of 0.030 +/- 0.007. Results obtained in patients with different types of the renal osteopathy depending on the intensity of the impairment were discussed.

Dependence of developing group Ia afferents on neurotrophin-3

At birth, group Ia proprioceptive afferents and muscle spindles, whose formation is Ia afferent-dependent, are absent in mice carrying a deletion in the gene for neurotrophin-3 (NT-3-/-). Whether Ia afferents contact myotubes, resulting in the formation of spindles which subsequently degenerate, or whether Ia afferents and spindles never form was examined in NT-3-/- mice at embryonic days (E) 10.5-18.5 by light and electron microscopy. Three sets of data indicate that Ia neurons do not develop and spindles do not form in NT-3-deficient mice. First, peripheral projections of Ia afferents did not innervate hindlimbs of NT-3-/- mice, as reflected by a deficiency of nerve fibers in limb peripheral nerves and an absence of afferent nerve-muscle contacts and spindles in the soleus muscle at E13.5-E18.5. Second, central projections of Ia afferents did not innervate the spinal cord in the absence of NT-3, as shown by an atrophy of the dorsal spinal roots and absence of afferent projections from limb musculature to spinal motor neurons at E13.5 or E15.5. Lastly, the lumbar dorsal root ganglia (DRGs) at E10.5-E14.5, the stages of development that precede or coincide with the innervation of the spinal cord and hindlimbs by Ia afferents, were 20-64% smaller in mutant than in wild-type mice, presumably because the cell bodies of Ia neurons were absent in embryos lacking NT-3. The failure of Ia neurons to differentiate and/or survive and Ia afferent projections to form in early fetal mice lacking NT-3 suggests that NT-3 may regulate neuronal numbers by mechanisms operating prior to neurite outgrowth to target innervation fields. Thus, developing Ia neurons may be dependent on NT-3 intrinsic to the DRGs before they reach a stage of potential dependence on NT-3 retrogradely derived from skeletal muscles or spinal motor neurons.

Studies on the physiological role of brain-derived neurotrophic factor and neurotrophin-3 in knockout mice

Brain-derived neurotrophic factor and neurotrophin-3 deficient mice were generated by gene targeting. The analysis of these mice has led to the characterization of their role in the survival of neurons in the peripheral nervous system. NT-3 deficient mice displayed severe movement defects and most died shortly after birth. The mutation causes loss of substantial portions of cranial and spinal peripheral sensory and sympathetic neurons. Significantly, spinal proprioceptive afferents and their peripheral sense organs (muscle spindles and Golgi tendon organs) were completely absent in homozygous mutant mice. BDNF deficient mice displayed deficiencies in coordination and balance. Excessive loss of neurons was detected in most of the peripheral sensory ganglia examined, but the survival of sympathetic neurons was not affected. The most marked reduction of neurons was observed in the vestibular ganglion, leading to a loss of innervation of the sensory epithelia of the vestibular compartments of the inner ear.

An immunocytochemical marker for early type I muscle fibers in the developing rat hindlimb

Muscle fibers develop sequentially from several generations of myotubes that express specific isoforms of myosin heavy chain (MHC). We observed that the chicken-derived monoclonal antibody (mAb) S46 binds to myotubes of the fetal rat hindlimb in a specific temporal and spatial pattern. To determine the type and fate of the S46-reactive myotubes, we immunoreacted sections of fetal, neonatal and postnatal hindlimb muscles to this antibody. The mAb S46 bound to a subpopulation of primary myotubes in the tibialis anterior, and to all primary and slow/fast secondary myotubes in the soleus muscle. The S46-reactive primary myotubes represented the oldest set of myotubes in the muscles. Reactivity to S46 was present from the earliest stages of muscle development, peaked in the late fetal period, and dissipated in the first postnatal week, suggesting that mAb S46 binds to a developmental form of slow myosin. The regional distribution of myotubes that bound S46 in fetal muscles was identical to the distribution of type I (slow-twitch) fibers in the adult, indicating that S46-reactive myotubes ultimately develop into type I extrafusal fibers. Thus, mAb S46 can be used as a marker for prospective type I extrafusal fibers in the rat hindlimb.

Origin of intrafusal fibers from a subset of primary myotubes in the rat

S46, a monoclonal antibody (mAb) specific for the SM-1 and SM-2 isoforms of avian slow myosin heavy chains (MHC), was used to study the earliest stages of development of intrafusal fibers in muscle spindles of the rat hindlimb. Spindles formed only in the regions of fetal muscles that contained primary myotubes reactive to mAb S46, such as the axial region of the tibialis anterior muscle. The first intrafusal fiber to form, the nuclear bag2 fiber, originated from within the population of S46-reactive primary myotubes. Binding of mAb S46 by myotubes giving rise to the bag2 fibers preceded the appearance of encapsulated spindles in the muscles by electron microscopy. However, reactivity to S46 intensified in the myotubes transforming into bag2 fibers after the innervation of the fibers by afferents, and dissipated in myotubes differentiating into slow-twitch (type I) extrafusal fibers. Thus, afferents may enhance intrafusal expression of the MHC isoform reactive to mAb S46. The pattern of S46 binding to nuclear bag and chain intrafusal fibers in both developing and adult spindles was the same as that reported for the mAb ALD19, suggesting that both antibodies bind to the same MHC isoform. This isoform is probably a developmental form of slow myosin, because it was transiently expressed during the development of type I extrafusal fibers. The origin of bag2 intrafusal and type I extrafusal fibers from a bipotential subpopulation of primary myotubes reactive to mAb S46 correlates with the location of muscle spindles in the slow regions of muscles in adult rat hindlimbs.

Review of trace elements in blood, serum and urine for the Czech and Slovak populations and critical evaluation of their possible use as reference values

The availability of accurate trace element reference values in human tissues represents an important indicator to the health status of the general population and occupational groups exposed to trace elements. The EURO TERVIHT project (Trace Element Reference Values in Human Tissues) aims to establish and compare trace element reference values in tissues from inhabitants of the European countries as baseline values for clinical/toxicological assessment studies. In this context, one of the first steps considered is the critical evaluation (state of the art) of existing literature on trace element reference values in blood, serum and urine in the general population of each European country. This paper reviews the Czech and Slovak situation by assessing studies carried out in these countries for Al, As, Cd, Co, Cr, Cu, F, Mn, Hg, Ni, Pb, Rb, Sc, Se, V and Zn in blood, serum and urine. These studies show that most of the data available do not meet criteria designed recently for deriving reference intervals, especially regarding the number of subjects, the age of population sample studies as well as the use of appropriate sampling techniques and quality assurance procedures. Elements which present the highest potential risk for health in Czech and Slovak populations and for which reference values should be urgently established are: Cd, Hg, Pb (major pollutants); As, Cr, Ni (carcinogenic metals); Al, F, Mn, Tl, V (released into the environment by coal combustion and other industrial activities); Pt (increasing use of Pt catalyst in petrol-driven automobiles); essential trace elements such as I, Se and Zn for which a deficiency in Czech and Slovak populations was detected or is suspected.

Sequences of intrafusal fiber formation are muscle-dependent in rat hindlimbs

A rat muscle spindle typically contains four intrafusal fibers-one nuclear bag2, one nuclear bag1 and two nuclear chain fibers. We compared the sequence of formation of the three intrafusal fiber types among the tibialis anterior (TA), soleus (SOL) and medial gastrocnemius (MG) muscles using immunocytochemistry of spindle-specific myosin heavy chain isoforms. Spindles of the TA began to differentiate earlier and acquired the full complement of intrafusal fibers sooner than spindles of the SOL or MG muscles. At the onset of spindle assembly, the intrafusal myotubes expressed myosin heavy chains similar to those expressed by extrafusal myotubes. The first intrafusal myotube then differentiated into the bag2 fiber regardless of the muscle. However, the fate of the second-forming intrafusal myotube varied among the muscles studied. It usually differentiated into a chain fiber in the TA, into a bag1 fiber in the SOL, and into either a bag1 or a chain in the MG. The fate of the third-forming intrafusal myotube was reciprocal to that of the second; i.e. in those spindles in which the bag1 fiber was second to form, a chain was third, and vice versa. The fourth and last intrafusal myotube gave rise to a chain fiber. The inter- and intramuscular variability in the fate of intrafusal myotubes of the second and third generation argues against the existence of a program intrinsic to the myotubes that would mandate their differentiation along specific paths. Rather, an extrinsic regulatory factor, probably associated with the primary afferent neuron, may govern differentiation of pluripotential myotubes into particular types of intrafusal fiber. The fate of the intrafusal myotubes might then depend on the timing of the regulatory effect of afferents relative to the stage of development of the intrafusal bundle.

Water flux in a hybrid poplar stand

We studied water flux in a four-year-old stand of hybrid Populus during midsummer 1992. Study trees ranged in height from 11.0 to 15.1 m and in diameter from 8.3 to 15.1 cm. The large-leafed Populus hybrid was relatively poorly coupled to the atmosphere. The average value of the stomatal decoupling coefficient, Omega, was 0.66, indicating that, on average, a 10% change in stomatal conductance would result in only a 3 to 4% change in transpiration. During the middle of the summer, the smallest study tree used between 20 and 26 kg of water per day, whereas the largest tree used between 39 and 51 kg day(-1). The maximum observed rate of stand water loss was 4.8 mm day(-1) in this Populus clone. Maximum rates of sap velocity within the xylem were as high as 12.5 m h(-1); measured rates for exposed sunlit branches approached 90% of this maximum. Within-canopy patterns of stomatal conductance generally reflected patterns of incident radiation. Stomatal conductance of foliage grown in shade, even when exposed to non-limiting light and water source conditions, did not increase appreciably. Patterns of stomatal conductance under limiting and non-limiting conditions suggested that both stomatal conductance and leaf specific hydraulic conductivity (LSHC) were linked with the ability to exploit the light resource.

Lack of neurotrophin-3 leads to deficiencies in the peripheral nervous system and loss of limb proprioceptive afferents

Neurotrophin-3-deficient (NT-3-deficient) mice were generated by gene targeting. Mutant mice displayed severe movement defects of the limbs, and most died shortly after birth. Substantial portions of peripheral sensory and sympathetic neurons were lost while motor neurons were not affected. Significantly, spinal proprioceptive afferents and their peripheral sense organs (muscle spindles and Golgi tendon organs) were completely absent in homozygous mutant mice. This correlated with a loss of parvalbumin and carbonic anhydrase-positive neurons in the dorsal root ganglion. No gross abnormalities were seen in Pacinian corpuscles, cutaneous afferents containing substance P and calcitonin gene-related peptide, and deep nerve fibers in the joint capsule and tendon. Importantly, the number of muscle spindles in heterozygous mutant mice was half of that in control mice, indicating that NT-3 is present at limiting concentrations in the embryo.