The effects of posterior subtenon injection of triamcinolone acetonide in patients with intermediate uveitis.

Purpose: Periocular injection of corticosteroids is a common treatment for vision loss in patients with intermediate uveitis. However, this treatment has the potential for serious side effects. We sought to determine the effects of such injections in a series of patients.

Dose-related difference in progression rates of cytomegalovirus retinopathy during foscarnet maintenance therapy. AIDS Clinical Trials Group Protocol 915 Team.

Purpose: A previous dose-ranging study of foscarnet maintenance therapy for cytomegalovirus retinopathy showed a positive relationship between dose and survival but could not confirm a relationship between dose and time to first progression. This retrospective analysis of data from that study was undertaken to determine whether there was a relationship between dose and progression rates, which reflects the amount of retina destroyed when progression occurs.

Methods: Patients were randomly given one of two foscarnet maintenance therapy doses (90 mg/kg of body weight/day [FOS-90 group] or 120 mg/kg of body weight/day [FOS-120 group] after induction therapy.

Endovascular stent placement and magnetic resonance angiography for management of hypertension and renal artery occlusion during pregnancy.

Background: Severe renovascular hypertension carries serious maternal and fetal risk. In patients failing medical therapy, therapeutic options include surgical revascularization, nephrectomy, and percutaneous angioplasty.

Case: A pregnant woman with long-standing hypertension developed accelerated hypertension despite multiple drug therapy.

Corneal pharmacokinetics of topical clarithromycin.

Purpose: To evaluate the pharmacokinetics of topically applied clarithromycin, a new macrolide antibiotic, at various concentrations in a rabbit model.

Methods: Clarithromycin in dosages of 10, 20, and 40 mg/ml was administered topically every 2 hours for 48 hours to three groups of 16 New Zealand albino rabbits. Both corneas were treated.

An epidemiological analysis of overuse injuries among recreational cyclists.

Two-hundred and ninety-four male and 224 female randomly selected recreational cyclists responded to a mail questionnaire. Significant differences were observed between male and female cyclists' training characteristics. Overall, 85% of the cyclists reported one or more overuse injury, with 36% requiring medical treatment.

Cofactors are essential for stem cell factor-dependent growth and maturation of mast cell progenitors: comparative effects of interleukin-3 (IL-3), IL-4, IL-10, and fibroblasts.

Stem cell factor (SCF) possesses many mast cell-stimulating activities, including the ability to support the growth of mucosal-like mast cells (MMCs) and connective tissue mast cells (CTMCs). However, this study shows that, in the absence of accessory cells, SCF does not stimulate the clonal growth of primitive mast cell progenitors. Nevertheless, SCF exhibited potent growth-promoting effects when combined with the cytokines interleukin-3 (IL-3), interleukin-4 (IL-4), and interleukin-10 (IL-10).

Verification of a mathematical method for the estimation of the acute ingestion hazard of detergent preparations.

The hazard posed by the accidental ingestion of preparations has traditionally been assessed either by carrying out an acute oral toxicity test on animals or by extrapolation from data on tested preparations of similar composition. The EC Directive on the Classification, Packaging and Labelling of Dangerous Preparations (CPL Directive; EEC, 1988) requires that a preparation is classified by a mathematical procedure known as the Conventional Method. This method can result in preparations being classified as "Harmful" by ingestion even though they are not considered to be a significant ingestion hazard on the basis of the results of tests on similar preparations or surveys of accidents with marketed products.

Peripheral vascular surgery with magnetic resonance angiography as the sole preoperative imaging modality.

Purpose: Magnetic resonance angiography (MRA) is a developing technique that provides arteriograms without the risks associated with iodinated contrast and arterial puncture or the expense of hospitalization. Prior reports have demonstrated the accuracy of peripheral vessel MRA for evaluation of the aorta through pedal vessels. This study sought to determine whether vascular reconstructions could be planned and accomplished on the basis of MRA alone.

Effect of energetic electron and proton bombardment on the reflectance of silicon-carbide mirrors in the extreme-ultraviolet region.

Chemical-vapor-deposited silicon-carbide mirrors were exposed to bombardment by 95-keV electrons and 100-keV protons with accumulated fluxes comparable with those expected in low-altitude Earth orbit for simulated periods of as many as 5 years. The reflectances of four mirrors were measured at five wavelengths (58.4, 73.

The progressive outer retinal necrosis syndrome. A variant of necrotizing herpetic retinopathy in patients with AIDS.

Background: The progressive outer retinal necrosis syndrome is a recently recognized variant of necrotizing herpetic retinopathy. This report characterizes more fully its clinical features and course.

Methods: Using standardized clinical criteria, patients with progressive outer retinal necrosis syndrome from four institutions were identified.

Preliminary experience with magnetic resonance venography: comparison with findings at surgical exploration.

While conventional magnetic resonance imaging has been described for the evaluation of the venous system, we have recently developed the technique of magnetic resonance venography (MRV), which generates three-dimensional projection venograms. Our purpose was to determine if MRV reliably images the venous system by comparison with findings at surgical exploration. Thirteen of fourteen consecutive patients undergoing bypass surgery (26 limbs) were studied by 2D time-of-flight MRV preoperatively from the inguinal ligament to the ankle bilaterally.

Evaluation of renal artery stenosis by magnetic resonance angiography.

Background: Accurate identification of patients with surgically correctable renovascular hypertension has been difficult by noninvasive means. Advances in the technique of magnetic resonance angiography (MRA) have begun to provide detailed, accurate imaging of the vascular system. This study reports our recent experience in the evaluation of the renal arteries by this technique.

Magnetic resonance angiography of the aorta, iliac, and femoral arteries.

Background: Successful management of patients with peripheral vascular disease requires detailed vascular imaging, usually performed by contrast arteriography. Recently, magnetic resonance angiography (MRA) has been shown to be a noninvasive technique with greater sensitivity than contrast arteriography for detecting distal runoff vessels in patients with peripheral arterial occlusive disease. However, to supplant the need for contrast arteriography and provide a completely noninvasive evaluation of patients with occlusive disease, accurate imaging of the inflow vessels and the runoff vessels is necessary.

A histological comparison of periapical inflammatory and neural responses to two endodontic sealers in the ferret.

Previous studies have shown that there is a proliferation of nerves beneath the apices of pulpectomized teeth. This may be due to the inflammation induced after the procedure, resulting, perhaps, from the irritant nature of the materials used to fill the root canal. The experiment reported here was conducted to determine whether this inflammation was induced by the sealer rather than arising as a result of tissue damage and whether, if inflammation is eliminated or reduced, the neural changes are also reduced.

Comparative efficacy of topical ciprofloxacin for treating Mycobacterium fortuitum and Mycobacterium chelonae keratitis in an animal model.

Mycobacterium fortuitum and M. chelonae are the two most common causes of nontuberculous mycobacterial keratitis, and they may be difficult to differentiate at diagnosis. Mycobacterium fortuitum is generally more sensitive to ciprofloxacin in vitro than is M.

Ocular toxoplasmosis misdiagnosed as cytomegalovirus retinopathy in immunocompromised patients.

Background: Cytomegalovirus (CMV) and Toxoplasma gondii both cause necrotizing retinopathy in immunosuppressed hosts. Because of the high prevalence of serum antibodies to these agents in the general population and the risks associated with retinal biopsies, diagnosis of these infections is usually based on clinical findings alone, but the two infections can be confused with one another because of similar clinical features. Accurate diagnosis is critical, however, because both diseases are treatable but require different medical therapies.

Effects of stairclimbing on VO2max and quadriceps strength in middle-aged females.

The purpose of this study was to determine the effect of 12 wk of stairclimbing with and without an external load on aerobic capacity and quadriceps strength of sedentary (initial VO2max 25.3 +/- 0.73 ml.

Magnetic resonance angiographic imaging of angioplasty and atherectomy sites.

Unlabelled: Magnetic resonance angiography (MRA) provides detailed morphologic and flow information that demonstrates complex changes at sites of percutaneous transluminal angioplasty (PTA) and atherectomy. The purpose of this study is to examine the appearance of the vessel by MRA in the initial post-procedural and early follow-up periods.

Methods: MRA was performed to evaluate 35 infrainguinal endovascular procedures (20 patients), including PTA (20), atherectomy (4), and combination PTA/atherectomy (11).

Combination of ganciclovir and granulocyte-macrophage colony-stimulating factor in the treatment of cytomegalovirus retinitis in AIDS patients. The ACTG 073 Team.

The efficacy and safety of a combination of ganciclovir plus GM-CSF was evaluated in AIDS patients with cytomegalovirus retinitis. In phase A, patients were randomized to receive ganciclovir, 5 mg/kg every 12 h for 14 days followed by 5 mg/kg daily, with (n = 24) or without (n = 29) GM-CSF (1-8 micrograms/kg daily subcutaneously) to maintain absolute neutrophil counts between 2500 and 5000 cells/microliters. In phase B, after 16 weeks zidovudine was added to the regimen of 16 patients receiving ganciclovir plus GM-CSF and 20 receiving ganciclovir alone.

The progressive outer retinal necrosis syndrome.

The progressive outer retinal necrosis (PORN) syndrome is a recently described clinical variant of necrotizing herpetic retinopathy in patients with the acquired immunodeficiency syndrome (AIDS). It is caused by varicellazoster virus infection of the retina. Its course and clinical features distinguish it from the acute retinal necrosis syndrome and CMV retinopathy.

Morphological features of dentine and pulp related to dentine sensitivity.

This review considers those structural features of the pulp and dentine relevant to an understanding of dentine sensitivity. It does not discuss innervation, or microvasculature, which are covered in other contributions. The sensitivity of dentine is directly related to the size and patency of the dentinal tubules.