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The normal cerebral circulation has the ability to maintain a stable cerebral blood flow over a wide range of cerebral perfusion pressures and this is known as cerebral autoregulation. This autoregulation may be impaired in the injured brain. Closed head injury was induced in 28 Sprague-Dawley rats weighing 400-450 g. Four groups were studied: control group, head injured rat from meter height using 350 g, 400 g and 450 g respectively. CBF, volume velocity was monitored using laser-Doppler flowmetry together with monitoring of ICP and arterial blood pressure. Correlation to assess the relationship between CBF and CPP was done in each animal every hour. If correlation coefficient was > 0.85 and CPP was within normal range, loss of autoregulation was hypothesized. Chi square test, ANOVA test and unpaired Student's t-test were done and significant level of p < 0.05 was established. Mean CBF in injured rats was significantly lower than controls (p = 0.028) at the fifth hour. CBV was lower in the group of 450 g 1 m impact than in controls at 3 h (p = 0.04). Velocity in the group of all injured rats, was significantly lower than in controls at 3 h (p = 0.032) and at 4 h (p = 0.027). Loss of autoregulation was seen during first four hours after trauma in all groups of rats who sustained injury. Statistical significant difference (p = 0.041) in loss of autoregulation between injured and control animals was seen. No loss of autoregulation was observed in the control group. In conclusion CBF and CPP provide information about loss of autoregulation in diffuse brain injury. Decrease in CBF and increase of ICP is observed as a result of loss of cerebral autoregulation. Knowledge of loss of autoregulation could give important information and help in the management of head injured patients.
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PMID:Evaluation of cerebral autoregulation following diffuse brain injury in rats. 926 20

According to the ICP (infancy-childhood-puberty) growth model, statural growth can be divided into three partially superimposed components assumed to represent different physiologic mechanisms. This model predicts a sudden acceleration of length velocity (LV) at the onset of the childhood component around 9 months. The existence of such an infancy-childhood growth spurt has not yet been firmly corroborated by epidemiological studies. In the present study length measurements were made at the target ages of 1, 3, 6, 9, 12, 15, 18 and 24 months in a birth cohort of 2034 infants. In order to check whether length growth showed a continuous smooth pattern, different mathematical models were fitted to the individual growth curves. The models included Count and Guo functions, 5th order polynomial and combinations of 5th order polynomial with the logarithmic term of the Count function and the square root term of the Guo function. We showed that in boys and girls there is a small but systematic lack of fit of the mathematical modeling, due to a sudden acceleration of LV around 9 months. In addition there was an increase in variation of attained length at this age. Comparison of unbalanced ANOVA models with and without addition of dummy variables for the target ages confirmed that there was an acceleration around 9 months that, if corrected for, leads to a significantly improved model fit (likelihood ratio test p < 0.0001). In absolute terms of LV, the misfit at 9 months was not greater than 0.5 cm/year on average. We conclude that the results of this study support the existence of a late infancy growth spurt. In our opinion, however, the magnitude of the phenomenon does not legitimate construction and use of discontinuous growth references such as the ICP reference.
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PMID:Length velocity acceleration at 9 months of age in a representative birth cohort of Dutch infants. 1068 37

Succimer is considered to be a safe and effective treatment for lead (Pb) poisoning, since it reduces body Pb levels without an apparent diuresis of other essential elements. However, while existing clinical data indicate that succimer does not significantly increase the excretion of non-target elements, those studies have also reported a wide range of outcomes. Therefore, we investigated whether succimer treatment measurably increased the urinary excretion of essential elements in a primate model of childhood Pb exposure. Infant rhesus monkeys (Macaca mulatta) were exposed to Pb from birth through one year of age, and presented blood Pb levels of approximately 40-50 microg/dL at the start of treatment. Subsequently, they were treated with succimer (30 mg/kg/day x 5 days followed by 20 mg/kg/day x 14 days, n = 15) or vehicle (n = 14) for 19 days. Complete urine samples were collected over the first 5 days of treatment, and were analyzed for levels of calcium (Ca), cobalt (Co), copper (Cu), iron (Fe), lead (Pb), magnesium (Mg), manganese (Mn), nickel (Ni), and zinc (Zn), using trace metal-clean techniques and magnetic sector-ICP-MS. Succimer treatment significantly (p < 0.05) reduced blood Pb levels when compared to the vehicle group over the treatment period, and concomitantly produced a significant >4-fold increase in urinary Pb excretion. Succimer treatment also significantly (p < 0.05, multivariate ANOVA) increased the urinary excretion of essential elements, but only when the cumulative total excretion over treatment days 1-5 for all elements were considered. None of these relative increases reached statistical significance for any particular element x day, although increases in Zn (day 3) excretion were only marginally non-significant (0.1 > p > 0.05). Multivariate analyses of a subset of elements (Cu, Fe, Mn, Zn) similarly indicated no significant effect of succimer treatment overall, although the urinary excretion of Mn was significantly increased on day 3 of treatment. Collectively, these data indicate that succimer does contribute to an increase in the urinary excretion of essential elements, although not significantly for any single element considered here. This may be important in Pb-exposed children, who can possess reduced trace element reserves due to nutritional deficiencies.
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PMID:Succimer and the urinary excretion of essential elements in a primate model of childhood lead exposure. 1077 30

We used steady-state susceptibility contrast MRI to evaluate the regional cerebral blood volume (rCBV) response to hypocapnia in anesthetised rats. The rCBV was determined in the dorsoparietal neocortex, the corpus striatum, the cerebellum, as well as blood volume in extracerebral tissue (group 1). In addition, we used laser-Doppler flow (LDF) measurements in the left dorsoparietal neocortex (group 2), to correlate changes in CBV and in cerebral blood flow. Baseline values, expressed as a percentage of blood volume in each voxel, were higher in the brain regions than in extracerebral tissue. Hypocapnia (P(a)CO(2) approximately 25 mmHg) resulted in a significant decrease in CBV in the cerebellum (-17 +/- 9%), in the corpus striatum (-15 +/- 6%) and in the neocortex (-12 +/- 7%), compared to the normocapnic CBV values (group 1). These changes were in good agreement with the values obtained using alternative techniques. No significant changes in blood volume were found in extracerebral tissue. The CBV changes were reversed during the recovery period. In the left dorsoparietal neocortex, the reduction in LDF (group 2) induced by hypocapnia (-21 +/- 8%) was in accordance with the values predicted by the Poiseuille's law. We conclude that rCBV changes during CO(2) manipulation can be accurately measured by susceptibility contrast MRI. Abbreviations used: ANOVA analysis of variance CBF cerebral blood flow CBV cerebral blood volume CPMG Carr-Purcell-Meiboom-Gill FiO(2) fractional inspired oxygen ICP intracranial pressure LDF laser-Doppler flow MABP mean arterial blood pressure MRI magnetic resonance imaging MTT mean transit time PaCO(2) arterial partial pressure of carbon dioxide PaO(2) arterial partial pressure of oxygen PET positron emission tomography rCBV regional cerebral blood volume SPECT single-photon emission computed tomography
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PMID:Regional cerebral blood volume response to hypocapnia using susceptibility contrast MRI. 1111 61

Image registration of multimodality images is an essential task in numerous applications in three-dimensional medical image processing. Medical diagnosis can benefit from the complementary information in different modality images. Surface-based registration techniques, while still widely used, were succeeded by volume-based registration algorithms that appear to be theoretically advantageous in terms of reliability and accuracy. Several applications of such algorithms for the registration of CT-MRI, CT-PET, MRI-PET, and SPECT-MRI images have emerged in the literature, using local optimization techniques for the matching of images. Our purpose in this work is the development of automatic techniques for the registration of real CT and SPECT images, based on either surface- or volume-based algorithms. Optimization is achieved using genetic algorithms that are known for their robustness. The two techniques are compared against a well-established method, the Iterative Closest Point-ICP. The correlation coefficient was employed as an independent measure of spatial match, to produce unbiased results. The repeated measures ANOVA indicates the significant impact of the choice of registration method on the magnitude of the correlation (F = 4.968, p = 0.0396). The volume-based method achieves an average correlation coefficient value of 0.454 with a standard deviation of 0.0395, as opposed to an average of 0.380 with a standard deviation of 0.0603 achieved by the surface-based method and an average of 0.396 with a standard deviation equal to 0.0353 achieved by ICP. The volume-based technique performs significantly better compared to both ICP (p<0.05, Neuman Keuls test) and the surface-based technique (p<0.05, Neuman-Keuls test). Surface-based registration and ICP do not differ significantly in performance.
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PMID:A comparative study of surface- and volume-based techniques for the automatic registration between CT and SPECT brain images. 1186 91

Levels of arsenic contamination in muscle and liver tissue of 25 sea fish and 4 shellfish species from the North Sea were determined. Analyses were done by both ICP-MS and HG-AFS to distinguish between nontoxic and toxic fractions of As. Highest total As concentrations were found in lemon sole, dogfish, ray, and witch. Average total As concentrations in these fish species were higher than 20 mg kg(-1) WW. The same species as well as the other flatfishes contained the highest amounts of toxic As (> 0.1 mg kg(-1) WW). Toxic fractions (AsTox/AsT%) above 2% were found in the following six species: seabass, ling, john dory, pouting, dab, and brill. No preferential concentration in the liver compared to the muscle was observed. In a worst-case scenario (when fish has been dried or smoked and the toxic As level is high; for example 0.5 mg kg(-1) WW), the As content of North Sea marine food may reach harmful levels. A normalization reflecting the toxic potential of sea fish was made. Shark and ray and most flatfish species have positive (high) normalized AsTox values.By ANOVA testing we compared the individual AsT concentrations of samples of the same species (intraspecies variability). Significant differences for some fish species were observed; significantly higher AsT concentrations were found in dogfish from the French coast versus the western North Sea and in common sole from the Bay of the Seine, in the north of France, versus the western North Sea.
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PMID:Total and toxic arsenic levels in north sea fish. 1239 11

The aim of this in vitro study was to evaluate mineral content of root canal dentin after treatment with several endodontic irrigation solutions. Sixty mandibular anterior teeth extracted for periodontal reasons used. The crowns of the teeth were removed at the cemento-enamel junction. Pulp tissues were removed and the teeth were randomly divided into six groups including 10 teeth each. Root canals were enlarged with gates-glidden burs (# 1, 2, and 3). The groups were treated as follows: group 1, 0.2% chlorhexidine gluconate for 15 min; group 2, 3% H2O2 for 15 min; group 3, 17% EDTA for 15 min; group 4, 5.25% NaOCl for 15 min; group 5, 2.5% NaOCl for 15 min; and group 6, distilled water (control). Dentin chips were obtained using gates-glidden burs (# 4, 5, and 6). The levels of five elements calcium, phosphorus, magnesium, potassium, and sulfur in each specimens were analyzed using ICP-AES (Inductively Coupled Plasma Atomic Emission Spectrometry) technique. Changes in the levels of the chemical elements were recorded. The results were then statistically analyzed by one-way ANOVA and Tukey tests. There was a significant decrease in the calcium and phosphorus levels after treatment with all irrigation solutions except for 5.25% NaOCl when compared with the control group (p < 0.05). The K, Mg, and S level changes were not statistically significant (p > 0.05). It has been concluded that endodontic irrigation solutions have an effect on mineral contents of root dentin.
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PMID:Effects of endodontic irrigation solutions on mineral content of root canal dentin using ICP-AES technique. 1573 66

Concentrations of Al, Ba, Cd, Cu, Fe, Mn, Mo, Si, Sr, Zn, Ca, K, Mg, Na and P in the livers of Baikal seal, plankton, zoobenthos, and fish, constituting the food sources for the seals, were determined by ICP-MS and ICP-AES. The accumulation of elements in the liver of seals, affected by internal and external (environmental) factors, was assessed by multidimensional (ANOVA, FA) and correlation analyses. FA has enabled identification of abiotic and biotic factors responsible for the accumulation of elements in the livers of Baikal seals. Significant influence of sex and development stage of the seals analysed on hepatic concentrations of some elements was found. The observed differences in element concentrations between pups, males and females could be attributable to the reproductive cycle of this species. ANOVA showed differences in concentrations of Fe, Zn, Cu and Cd in seals from the three separate basins of the lake. BMFs suggest biomagnification of Fe and Zn in the fish-seal trophic link.
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PMID:Relationships and bioaccumulation of chemical elements in the Baikal seal (Phoca sibirica). 1608

Crystal growth and elemental dissolution characteristics of gray Mineral Trioxide Aggregate (GMTA), white MTA (WMTA), and an experimental material, Dentalcrete, were compared. For part A, comparing amount and composition of surface crystal growth, twelve cylinders of each material were suspended in Phosphate Buffered Saline (PBS) solution without Ca. The crystals were analyzed by Scanning Electron Microscopy (SEM), X-ray Diffraction (XRD), and Inductively Coupled Plasma--Atomic Emission Spectroscopy (ICP-AES). For part B, three cylinders of each material were suspended in distilled, deionized water. The water was analyzed by ICP-AES for Ca content at 24 h, 72 h, and 5, 7, 10, and 14 days. Data were analyzed using one-way ANOVA and Tukey test. Both MTA materials released more Ca initially, followed by a decline and then rise in elution. GMTA produced the most surface crystal, which may be clinically significant. The crystals on GMTA and WMTA were chemically and structurally similar to hydroxyapatite (HA).
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PMID:Elemental analysis of crystal precipitate from gray and white MTA. 1663 41

Seasonal variation of the concentrations of trace metals (Cd, Co, Cr, Cu, Fe, Mn, Ni, Pb and Zn) were measured by ICP-AES in the water and sediment from the Saricay Stream, Geyik Dam and Ortakoy Well in the same basin. Comparisons between trace metal concentrations in water and sediment in three sources (Stream, Dam and Well) were made. The concentrations of a large number of trace metals in the water and sediment were generally higher in the Stream than in the Well and Dam, particularly in summer. Trace metal concentration ranges in sediments of the Saricay Stream and its sources showed very wide ranges (as mass ratio): Co: 5-476 microg g(-1), Cr: 15-1308 microg g(-1), Cu: 7-128 microg g(-1), Fe: 1120-13210 microg g(-1), Mn: 150-2613 microg g(-1), Ni: 102-390 microg g(-1), Pb: 0.7-31.3 microg g(-1) and Zn: 18-304 microg g(-1), whereas Cd was not detected. Trace metal concentration ranges found in waters were: Co: 9.5-20.7 microg L(-1), Cr: 20.3-284 microg L(-1), Cu: 170-840 microg L(-1), Fe: 176-1830 microg L(-1), Mn: 29.3-387 microg L(-1), and Ni: 4.3-21.9 microg L(-1). Among the trace metals studied, Cd and Zn in two seasons and Pb in winter were usually not detected or in the recommended levels. In addition, Cd was not detected in the sediment during the winter season. The analysis of variance (one-way ANOVA) and correlation matrix was employed for the sediment and water samples of the two field surveys (summer and winter) comparison. The three sources showed differences in metal contents. The metal levels in sediments displayed marked seasonal and regional variations, which were attributed to anthropogenic influences and natural processes. In the Saricay Stream, high values of metals during the dry season showed an anthropological effect from small industry firms, e.g.: an olive mill and a dairy farm or water dilution during summer seasons. Finally, the pollution in this basin probably originated from small industrial, low quality coal-burned thermal power plants, and particularly agricultural and domestic waste discharges.
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PMID:Sources and distribution of trace metals in the Saricay Stream basin of southwestern Turkey. 1689 12


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